KATIE JEAN WELLS (NPI# 1053833061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053833061 |
| Entity Type | Individual |
| Full Name | KATIE JEAN WELLS |
| Credential | LCSW |
| Practice Address |
602 David St Corning AR 72422-7268 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8708573655 |
| Practice Fax Number | 8708573667 |
| Mailing Telephone | 8709724939 |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8394C | AR | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | AR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406285 | Katie Lynn Wells | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2020-07-31 |
| 1912388794 | Katie Wells | Case Manager/Care Coordinator | 4900 Houston Rd, Florence, KY 41042-4824 | 2015-06-17 |
| 1902197320 | Katie Mccoy Wells | Emergency Medicine | 111 Colchester Ave, Burlington, VT 05401 | 2011-04-20 |
| Street Address |
602 DAVID ST |
| City | CORNING |
| State | AR |
| Zip Code | 72422-7268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104077676 | Northeast Arkansas Community Mental Health Center | Counselor | 602 David St, Corning, AR 72422-7268 | 2008-10-02 |
| 1275132508 | Christopher Whittaker | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2020-10-19 |
| 1922615384 | Allison N Bradish | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2020-09-29 |
| 1205441342 | Emily Green | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2020-09-15 |
| 1841818333 | James T Freeman | Licensed Practical Nurse | 602 David St, Corning, AR 72422-7268 | 2020-07-10 |
| 1376169615 | Amy Freeman | Licensed Practical Nurse | 602 David St, Corning, AR 72422-7268 | 2020-06-23 |
| 1942832688 | Cody L Anderson | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2020-02-11 |
| 1598397226 | Kandra E Leonard | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2020-02-11 |
| 1831739838 | Paul Prevo | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2020-01-08 |
| 1770123606 | Sydney Haggard | Case Manager/Care Coordinator | 602 David St, Corning, AR 72422-7268 | 2020-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639326341 | Michele Ann Crancer | Speech-Language Pathologist | 510 Wynn Park Drive, Corning, AR 72422 | 2008-08-25 |
| 1639104920 | Stacy R Arnell | Social Worker | 602 David Street, Corning, AR 72422 | 2006-07-12 |
| 1285046896 | Krystal Dawn Upshaw | Podiatrist | 1300 Creason Rd, Corning, AR 72422 | 2014-06-02 |
| 1316211469 | Lisa Lynn Vinal | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422 | 2012-03-06 |
| 1538431556 | Susie Elaine Flanery | Social Worker | 1300 Creason Rd, Corning, AR 72422 | 2012-02-07 |
| 1023230661 | Corning Public Schools | Local Education Agency (LEA) | 500 Bobcat Lane, Corning, AR 72422-0479 | 2007-05-03 |
| 1003951278 | Karen R Crawley | Speech-Language Pathologist | 2503 Cherry St, Corning, AR 72422-1315 | 2007-02-21 |
| 1649821844 | Jill Ann Foster | Nurse's Aide | 301 Griggs Ln, Corning, AR 72422-1425 | 2019-09-28 |
| 1700211489 | Bradley Chiropractic Center, LLC | Chiropractor | 301 N Missouri Ave, Suite 17, Corning, AR 72422-1600 | 2013-09-12 |
| 1134291818 | Piggott Community Hospital | Durable Medical Equipment & Medical Supplies | 301 N Missouri Ave Ste 17, Corning, AR 72422-1603 | 2006-11-15 |
| Find all providers in zip 72422 | ||||
| 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 |
|---|---|---|---|---|
| 1063955755 | Martha Thompson | Social Worker | 10486 South Rd, Corning, NY 14830-3200 | 2016-11-29 |
| 1417133935 | Janice Kirsten Vitale | Social Worker | 14 E Market St Ste 201, Corning, NY 14830-2681 | 2008-01-15 |
| 1942413810 | Joann Morse-clough | Social Worker | 23 W Market St Ste 208, Corning, NY 14830 | 2007-05-08 |
| 1083702328 | Denise Rae Smith | Social Worker | 3531 Columbia Ave, Corning, CA 96021-9650 | 2006-10-11 |
| 1639104920 | Stacy R Arnell | Social Worker | 602 David Street, Corning, AR 72422 | 2006-07-12 |
| 1407847353 | Connie Marie Massie | Social Worker | 519 Solano St C, Corning, CA 96021-3455 | 2005-10-31 |
| 1407418577 | Nicole K Terrio | Social Worker | 77 E 1st St, Corning, NY 14830-2715 | 2019-06-28 |
| 1619471422 | Jennifer Close | Social Worker | 77 E 1st St, Corning, NY 14830-2715 | 2018-03-19 |
| 1902308679 | Diione Fox-murch | Social Worker | 280 Princeton Avenue Ext, Corning, NY 14830-1524 | 2018-03-08 |
| 1538431556 | Susie Elaine Flanery | Social Worker | 1300 Creason Rd, Corning, AR 72422 | 2012-02-07 |
| Find all providers in CORNING | ||||
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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.