CENTERVILLE CLINICS, INC. (NPI# 1013999317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013999317 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
190 Bonar Ave Waynesburg PA 15370-1604 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7246278156 |
| Mailing Telephone | 7246326801 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR OF FINANCE/PERSONNEL) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| 1932450509 | Centerville Clinics, Inc. | Specialist | 3214 Constitution Blvd, Claysville, PA 15323-1333 | 2012-09-24 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1154508620 | Centerville Clinics, Inc. | Community/Behavioral Health | 201 Alwine Ave, Greensburg, PA 15601-3211 | 2008-01-28 |
| 1073734281 | Centerville Clinics, Inc. | Clinic/Center | 200 Chamber Plz, Charleroi, PA 15022-1605 | 2007-05-02 |
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1124191671 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2006-11-15 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1275514531 | Centerville Clinics, Inc. | Internal Medicine | 1150 7th St, Waynesburg, PA 15370-1660 | 2005-11-14 |
| Street Address |
190 BONAR AVE |
| City | WAYNESBURG |
| State | PA |
| Zip Code | 15370-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867969 | Linda C Kovach | Social Worker | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2005-11-04 |
| 1790234706 | Kristy Borovichka | Counselor | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2016-10-03 |
| 1194150045 | Darcie Lynn Coen | Counselor | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2013-09-11 |
| 1821357187 | Megan Mcklveen | Technician, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-05-08 |
| 1538432166 | Tricia Tokish | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
| 1548533185 | Krista Porter | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2012-02-13 |
| 1710283502 | Jenna Petrick | Specialist/Technologist, Other | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2011-01-27 |
| 1801045489 | Joseph Leroy Burgess | Case Manager/Care Coordinator | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-09-18 |
| 1992960223 | Lisa A Huffine | Specialist | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-07-25 |
| 1679748594 | Centerville Clinics, Inc. Psy | Social Worker | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063040830 | Meghan Murphy-bedilion | Dietitian, Registered | 417 Bill George Drive, Waynesburg, PA 15370 | 2020-03-29 |
| 1518443209 | Centerville Clinics Inc | Social Worker | West Greene Elementary, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-16 |
| 1639655673 | Centerville Clinics Inc | Social Worker | West Greene Middle/senior Hs, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-12 |
| 1124555370 | Rebekah Barbara Matta | Specialist/Technologist | 51 West College St., Waynesburg, PA 15370 | 2017-05-18 |
| 1720461411 | Jessica Burnsworth | Counselor | 95 East High Stree, Suite 342, Waynesburg, PA 15370 | 2015-06-30 |
| 1174824411 | Srmc Healthcare Group, LLC | Podiatrist | 236 Elm Drive, Suite 104, Waynesburg, PA 15370 | 2010-11-03 |
| 1447551783 | Srmc Healthcare Group, LLC | Family Medicine | 1150 7th Street, Waynesburg, PA 15370 | 2010-11-03 |
| 1154656957 | Mikee L. Krieg | Counselor | 95 East High Street, Suite 407, Waynesburg, PA 15370 | 2009-10-12 |
| 1578896106 | Sue-ann R Woods | Occupational Therapist | 160 Greene Plaza, Waynesburg, PA 15370 | 2009-09-15 |
| 1720285026 | United Cerebral Palsy of Swpa, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 140 South Oakview Drive, Waynesburg, PA 15370 | 2007-06-29 |
| Find all providers in zip 15370 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867969 | Linda C Kovach | Social Worker | 190 Bonar Ave, Waynesburg, PA 15370-1604 | 2005-11-04 |
| 1134642648 | Jessica Trozzo | Social Worker | 100 Evergreene Dr, Waynesburg, PA 15370-6010 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871658 | Yawei Song | Social Worker | 1101 Market St Ste 21000, Philadelphia, PA 19107-2934 | 2020-11-05 |
| 1609477827 | Brad-leigh T Coker | Social Worker | 820 Anaheim St, Pittsburgh, PA 15219-5004 | 2020-11-04 |
| 1144821414 | Taeja L Thomas | Social Worker | 712 Webster Ter, Pittsburgh, PA 15219-4227 | 2020-11-03 |
| 1457952830 | Cristina Lentz | Social Worker | 2420 Eastwood Dr, York, PA 17402-3605 | 2020-11-03 |
| 1578164802 | Angelique Porter | Social Worker | 967 E Swedesford Rd Ste 100, Exton, PA 19341-2332 | 2020-11-03 |
| 1346840170 | Sherell Lorraine Patterson | Social Worker | 8537 Michener Ave, Philadelphia, PA 19150-1601 | 2020-10-30 |
| 1518566892 | Virginia Marie Carr | Social Worker | 2905 Memphis St, Philadelphia, PA 19134-4313 | 2020-10-19 |
| 1265030969 | David Nicholas Wilson | Social Worker | 2419 E Hazzard St, Philadelphia, PA 19125-3112 | 2020-10-14 |
| 1760089221 | Stacey Louise Martin | Social Worker | 800 Mcknight Park Dr, Pittsburgh, PA 15237-6513 | 2020-10-07 |
| 1215534391 | Ben Kasemer Counseling LLC | Social Worker | 310 Chestnut St Ste 337, Meadville, PA 16335-3294 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESBURG |
| Zip Code | 15370 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.