DEBRA JEAN WAITE (NPI# 1023084480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023084480 |
| Entity Type | Individual |
| Full Name | DEBRA JEAN WAITE |
| Credential | LICSW |
| Practice Address |
5100 Gamble Dr Suite 100 Mail Stop 31200a Saint Louis Park MN 55416-1521 |
| Mailing Address |
8100 34th Ave S 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 9525938777 |
| Practice Fax Number | 9525956408 |
| Mailing Telephone | 9528837961 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2163 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952691420 | Debra Waite | Dietitian, Registered | 109 Ash Ln, Mountain Top, PA 18707-1522 | 2011-04-18 |
| Street Address |
5100 GAMBLE DR SUITE 100 MAIL STOP 31200A |
| City | SAINT LOUIS PARK |
| State | MN |
| Zip Code | 55416-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619340908 | Jill Marthaler | Marriage & Family Therapist | 5100 Gamble Dr, Behavioral Health, Saint Louis Park, MN 55416-1521 | 2015-11-09 |
| 1720283237 | Patrick James Palan | Social Worker | 5100 Gamble Dr, Suite 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1521 | 2007-06-15 |
| 1598724957 | Janet Ann Root | Marriage & Family Therapist | 5100 Gamble Dr, Ste 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-03-22 |
| 1356310593 | James S Keller | Optometrist | 5100 Gamble Dr, Mail Stop 31200a Ste 100, Saint Louis Park, MN 55416-1582 | 2006-03-17 |
| 1346218559 | Mary W Ericksen | Dietitian, Registered | 5100 Gamble Dr, Suite 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-03-14 |
| 1871560656 | Onaiza Ansar | Psychiatry & Neurology | 5100 Gamble Dr, Ste 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-03-01 |
| 1194792002 | Arthur B Decker | Psychologist | 5100 Gamble Dr, Ste 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-03-01 |
| 1598730343 | Barclay N Jones | Psychiatry & Neurology | 5100 Gamble Dr, Mail Stop 31200a Ste 100, Saint Louis Park, MN 55416-1582 | 2006-02-22 |
| 1841265154 | Mark David Rabinovitch | Pediatrics | 5100 Gamble Dr, Ste 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377921 | Karen M Kramer | Social Worker | 5100 Gamble Dr Suite 100, Mail Stop 31200a, Saint Louis Park, MN 55416-1582 | 2006-02-28 |
| 1659929867 | Robert Joseph Mccauley | Social Worker | 715 Florida Ave S Ste 307, Saint Louis Park, MN 55426-1759 | 2019-08-30 |
| 1992295059 | Corrine Ann Poole | Social Worker | 4500 Park Glen Rd Ste 450, Saint Louis Park, MN 55416-5190 | 2018-05-15 |
| 1629352893 | Margaret Stearns, LLC | Social Worker | 5353 Gamble Dr Ste 110, Saint Louis Park, MN 55416-1539 | 2011-10-05 |
| 1194030932 | Kendra M Olson | Social Worker | 3800 Park Nicollet Blvd, 3rd Floor North, Mental Health, Saint Louis Park, MN 55416-2527 | 2010-08-17 |
| 1467622498 | Bhargavi Shiledar Baxi Ghate | Social Worker | 5009 Excelsior Blvd, Suite 134, Saint Louis Park, MN 55416-3041 | 2008-03-05 |
| 1720283237 | Patrick James Palan | Social Worker | 5100 Gamble Dr, Suite 100 Mail Stop 31200a, Saint Louis Park, MN 55416-1521 | 2007-06-15 |
| 1790797850 | Mark Edmund Lachapelle | Social Worker | 1660 Highway 100 S, Suite 334, Saint Louis Park, MN 55416-1529 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255121 | Trizer Smith | Social Worker | 33 Wentworth Ave E Ste 280, West Saint Paul, MN 55118-3432 | 2020-11-06 |
| 1003417262 | Wellness Within Holistic Psychotherapy, Pa | Social Worker | 3960 Saari Rd, Hibbing, MN 55746-8280 | 2020-11-04 |
| 1376144808 | Brianna Heilman | Social Worker | 38431 Lincoln Trl, North Branch, MN 55056-5834 | 2020-11-02 |
| 1811597784 | Nadia Sullivan | Social Worker | 250 S 4th St # 510, Minneapolis, MN 55415-1321 | 2020-10-29 |
| 1922608322 | Kari Ann Steele | Social Worker | 419 6th Ave S, Sartell, MN 56377-2020 | 2020-10-27 |
| 1972102580 | Grace Christine Haugen | Social Worker | 3408 18th Ave S, Minneapolis, MN 55407-2779 | 2020-10-23 |
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1003415969 | Kaitlin Burke | Social Worker | 4016 Willow Rd N, Brooklyn Park, MN 55443-1240 | 2020-10-21 |
| 1366041378 | Jeanette Jean Foizie | Social Worker | 11109 127th St Se, Clear Lake, MN 55319-9491 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS PARK |
| Zip Code | 55416 |
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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.