MISS VICTORIA ANN LISTON (NPI# 1033484449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033484449 |
| Entity Type | Individual |
| Full Name | MISS VICTORIA ANN LISTON |
| Credential | BSW, CADC |
| Practice Address |
2148 Vadalabene Dr Maryville IL 62062-5632 |
| Practice Telephone | 6182883100 |
| Practice Fax Number | 6182883371 |
| Mailing Telephone | 6182883100 |
| Mailing Fax Number | 6182883371 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2020-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 150.013697 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2148 VADALABENE DR |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801002142 | Mackenzie R Pherigo | Social Worker | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2007-05-15 |
| 1699316877 | Terry Glenn | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2019-09-30 |
| 1144750605 | Rebecca Leigh Salah | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2017-06-18 |
| 1649726340 | William Michael Weiss I | Registered Nurse | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2016-09-01 |
| 1497115315 | Kolin Smith | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2016-03-04 |
| 1750740544 | Larry Copp | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2016-02-22 |
| 1750719142 | Courtney L Hupp | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2013-10-22 |
| 1568719797 | Daniel Douglas Hutchison | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2012-08-07 |
| 1952677510 | Tracey Sue Pearson | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2012-03-28 |
| 1518232891 | Jamie Lee Garman | Counselor | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2012-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| 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 |
|---|---|---|---|---|
| 1396370359 | Tabitha Ann Vanvranken | Social Worker | 512 Singletree Cir, Maryville, TN 37801-8651 | 2020-03-10 |
| 1417303157 | Edgar Tyrone Fritz | Social Worker | 2628 Morganton Rd, Maryville, TN 37801-8445 | 2016-05-12 |
| 1760822464 | Nicci C. Grigsby | Social Worker | 547 W. Lamar Alexander Pkwy, Maryville, TN 37801-4760 | 2013-06-27 |
| 1801002142 | Mackenzie R Pherigo | Social Worker | 2148 Vadalabene Dr, Maryville, IL 62062-5632 | 2007-05-15 |
| 1447258629 | Cynthia Ann Grimm | Social Worker | 659 Morganton Square Dr, Maryville, TN 37801-4763 | 2005-07-12 |
| 1124628672 | Ashley Hope Burbine | Social Worker | 309 N Houston St, Maryville, TN 37801-4733 | 2020-10-26 |
| 1790390086 | Jennifer Smith | Social Worker | 309 N Houston St, Maryville, TN 37801-4733 | 2020-09-13 |
| 1780297002 | Graham Scott Paschall | Social Worker | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2020-08-26 |
| 1427601749 | Kristen R Kessler | Social Worker | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2019-07-17 |
| 1679139612 | Elizabeth Bauman | Social Worker | 1704 E Broadway Ave, Maryville, TN 37804-2916 | 2019-05-15 |
| Find all providers in MARYVILLE | ||||
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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.