DENISE C. WALL, LCSW LLC (NPI# 1063754877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063754877 |
| Entity Type | Organization |
| Organization Name | DENISE C. WALL, LCSW LLC |
| Practice Address |
610 Main St Odessa DE 19730-2012 |
| Mailing Address |
Po Box 514 Odessa DE 19730-0514 |
| Practice Telephone | 3023765259 |
| Practice Fax Number | 3026894474 |
| Mailing Telephone | 3023765259 |
| Mailing Fax Number | 3026894474 |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | MS. DENISE CECILIA WALL (PSYCHO THERAPIST) |
| Authorized Official Telephone | 3023765259 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Q1-0000304 | DE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | NPI TYPE I | 1093814972 | 01 |
| DE | 1000032277 | 05 | |
| DE | TAXONOMY | 1041C0700X | 01 |
| Street Address |
610 MAIN ST |
| City | ODESSA |
| State | DE |
| Zip Code | 19730-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497268437 | Tom Bonk | Contractor | 167 Taylors Bridge Road, Odessa, DE 19730 | 2017-11-13 |
| 1154790434 | Glenna Pusey | Speech-Language Pathologist | 313 South Fifth Street, Box 4010, Odessa, DE 19730 | 2015-09-17 |
| 1962669994 | Gail Moyer | Registered Nurse | 118 S Sixth St, Odessa, DE 19730 | 2008-05-19 |
| 1346384070 | Elizabeth Polidoro Lucas | Specialist/Technologist | 18 South Sixth St, Odessa, DE 19730 | 2007-02-16 |
| 1346384005 | Denise Manna | Registered Nurse | 118 South Sixth St, Odessa, DE 19730 | 2007-02-16 |
| 1285778993 | State of Delaware | Local Education Agency (LEA) | 313 South Fifth St, Odessa, DE 19730 | 2007-02-16 |
| 1982883112 | Michelle Skilton | Registered Nurse | 118 South Sixth St, Odessa, DE 19730 | 2007-10-24 |
| 1982891081 | Janet J Montanaro | Speech-Language Pathologist | 118 South Sixth St, Odessa, DE 19730 | 2007-10-02 |
| 1578691176 | Christine Davis | Registered Nurse | 118 South Sixth St, Odessa, DE 19730 | 2007-03-02 |
| 1538295357 | Elizabeth Cycyk | Registered Nurse | 118 South Sixth St, Odessa, DE 19730 | 2007-02-26 |
| Find all providers in zip 19730 | ||||
| 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 |
|---|---|---|---|---|
| 1184245888 | Ashley Simpson | Social Worker | 15047 Virginia Sta Apt 406, Odessa, FL 33556-3992 | 2020-05-04 |
| 1477080083 | David Munger | Social Worker | 8601 Harvard Ave, Odessa, TX 79765-2121 | 2017-05-12 |
| 1033563093 | Karyn Walters | Social Worker | 17105 Rainbow Ter, Odessa, FL 33556-2107 | 2016-04-15 |
| 1225463938 | Elaine Elliott, Lcsw | Social Worker | 2107 Gunn Hwy, Odessa, FL 33556-3513 | 2013-09-12 |
| 1669750964 | Claire Amanda Greaves | Social Worker | 17604 Boy Scout Rd, Odessa, FL 33556-5109 | 2011-08-03 |
| 1528217171 | Schlotman Counseling Services, LLC | Social Worker | 406 N 4th St Ste A, Odessa, MO 64076-1680 | 2008-09-18 |
| 1285895748 | Hildred C Hoffman | Social Worker | 1278 W Us Highway 40, Odessa, MO 64076-9612 | 2008-06-18 |
| 1922295146 | Shawn Davis | Social Worker | 17633 Gunn Hwy #325, Odessa, FL 33556-1912 | 2007-10-02 |
| 1932263175 | Tricia Siefker Dygert | Social Worker | 938 Nw Highway 131, Odessa, MO 64076-8111 | 2006-12-21 |
| 1588638829 | Terry L Schlotman | Social Worker | 406 N 4th St, Ste A, Odessa, MO 64076-1680 | 2006-02-14 |
| Find all providers in ODESSA | ||||
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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.