MRS. TAMARA B CRINKLAW (NPI# 1023655123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023655123 |
| Entity Type | Individual |
| Full Name | MRS. TAMARA B CRINKLAW |
| Credential | LCSW |
| Practice Address |
6956 State Highway 56 Potsdam NY 13676-3628 |
| Mailing Address |
204 Patterson Rd Brushton NY 12916-4614 |
| Practice Telephone | 3152680264 |
| Mailing Telephone | 5185720876 |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2019-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
072143-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
6956 STATE HIGHWAY 56 |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841269123 | Leonard Orlando | Chiropractor | 6956 State Highway 56, Potsdam, NY 13676-3504 | 2006-03-17 |
| 1598372989 | Briana Katherine Dow | Marriage & Family Therapist | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2020-09-29 |
| 1659988442 | Jamie Chase | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2020-09-25 |
| 1083105738 | Bryanna Hanna | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2018-05-29 |
| 1073055133 | Morolake Odetoyinbo | Counselor | 6956 State Highway 56, Suite 1, Potsdam, NY 13676-3628 | 2016-11-07 |
| 1437500204 | Paula Brittany Hance | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2016-06-23 |
| 1811348675 | Moriah J Warren | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2016-06-23 |
| 1316397623 | Mental Health Counseling Services of Nny Pllc | Health Maintenance Organization | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2016-06-16 |
| 1578923702 | Julie Austin-kormanyos | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2016-03-01 |
| 1023481934 | Gary Joseph Edwards | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2015-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| 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 |
|---|---|---|---|---|
| 1619287547 | Theresa Wiehagen Samways | Social Worker | 104 Swan St, Potsdam, NY 13676-1131 | 2010-10-13 |
| 1033645593 | Coreen Bohl | Social Worker | 50 Leroy St, Potsdam, NY 13676-1786 | 2017-05-03 |
| 1558719211 | Emma Brackett | Social Worker | 50 Leroy St, Potsdam, NY 13676-1786 | 2016-06-02 |
| 1669896171 | Brandi K. Kelley | Social Worker | 44 Pierrepont Ave, Potsdam, NY 13676-2200 | 2014-02-05 |
| 1588086995 | Deirdre Dunham Gray | Social Worker | 50 Leroy St, Potsdam, NY 13676-1786 | 2014-01-21 |
| 1851427934 | John Michael Shumway | Social Worker | 83 Market St, Potsdam, NY 13676-1751 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
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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.