AVA J FIDDLE (NPI# 1053829655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053829655 |
| Entity Type | Individual |
| Full Name | AVA J FIDDLE |
| Credential | LMSW |
| Practice Address |
2100 Charlie Hall Blvd Charleston SC 29414-5832 |
| Practice Telephone | 8438524100 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 12255 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1760596480 | 05 |
| Street Address |
2100 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617714 | Rebecca J Whitt | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2005-08-30 |
| 1104426469 | Sara T Hansen | Social Worker | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-27 |
| 1770182776 | Nicholas Anthony Germano | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-21 |
| 1548868458 | Teresa Blake | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1285232181 | Autumn Porter | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1083221097 | Ashley M Parker | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1457968463 | Marlayah Legare | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1679180681 | Cecile A Piriz | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1265047872 | Frederick Laugisch | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-10 |
| 1144831512 | Whitney M Fee | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1891334025 | Derek Michael Toth | Social Worker | 171 Ashley Ave., Charleston, SC 29425-8908 | 2020-01-06 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1689234858 | Yvonne Sherii Lee | Social Worker | 301 Washington St W, Charleston, WV 25302-2230 | 2019-06-19 |
| 1720571458 | Tawana Faye Philpott | Social Worker | 169 Ashley Ave # Msc347, Charleston, SC 29425-8905 | 2018-06-07 |
| 1346751971 | James Tyrone Wilder | Social Worker | B, 1001 Michigan Ave, Joint Base, Charleston, SC 29404 | 2017-10-23 |
| 1548671530 | Holly Markins | Social Worker | 300 Tracy Way, Charleston, WV 25311 | 2014-05-13 |
| 1588099139 | Whitney Deann Kelly | Social Worker | 1064 Gardner Rd Ste 204, Charleston, SC 29407-5712 | 2013-09-13 |
| 1902239627 | Megan Plunkett | Social Worker | 108 Live Oak Ave, Charleston, SC 29407-6761 | 2013-08-16 |
| 1083967871 | Sheeva G Mcfarlin | Social Worker | 1 Carriage Lane, Building E Suite 202, Charleston, SC 29407-4141 | 2012-10-18 |
| 1184863359 | Theresa Anne Medley | Social Worker | 2085 Henry Tecklenburg Dr Ste 320, Charleston, SC 29414-7713 | 2009-02-11 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on AVA J FIDDLE.
| 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.