DR. YVONNE ADASSA COMMODORE (NPI# 1063835445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063835445 |
| Entity Type | Individual |
| Full Name | DR. YVONNE ADASSA COMMODORE |
| Credential | ED.D., ED.S., LMSW |
| Practice Address |
3614 Ashley Phosphate Rd Ste A North Charleston SC 29418-8500 |
| Mailing Address |
Po Box 2196 Mount Pleasant SC 29465-2196 |
| Practice Telephone | 8437677624 |
| Mailing Telephone | 8437677624 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 188020 | SC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
188020 | SC | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 188020 | SC | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
188020 | SC | Behavioral Health & Social Service Providers |
| Street Address |
3614 ASHLEY PHOSPHATE RD STE A |
| City | NORTH CHARLESTON |
| State | SC |
| Zip Code | 29418-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710529235 | Safe Keeping Healthcare LLC | Home Health | 2850 Ashley Phoshate Rd Suite J, Charleston, SC 29418 | 2019-10-16 |
| 1487136180 | Aston J Rosenberg | Speech-Language Pathologist | 4362 Leslie St, North Charleston, SC 29418 | 2018-08-30 |
| 1285178996 | Aaron Brown | Counselor | 5060 Dorchester Road, Suite 200, North Charleston, SC 29418 | 2016-12-14 |
| 1003265828 | Health Edge Laser LLC | Chiropractor | 4965 Centre Pointe Dr. Suite 100, North Charleston, SC 29418 | 2016-06-13 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1780086330 | Stephanie Washington | Specialist | 5060 Drochester Rd, North Charleston, SC 29418 | 2014-09-25 |
| 1043631369 | Julian H. Campbell, Dmd PC | Dentist | 3188 W. Montague Ave, North Charleston, SC 29418 | 2014-01-05 |
| 1750660676 | Marie's Home Care | Home Health | 7610 Mcknight St., Apt.a, North Charleston, SC 29418 | 2011-08-09 |
| 1437437548 | Trident General Dentistry, Douglas S Rawls, Dm | Dentist | 6335 Dorchester Road, North Carleston, SC 29418 | 2011-07-25 |
| 1508165291 | Patrick Michael Looser | Internal Medicine | 4969 Centre Pointe Dr Ste 100, North Charleston, SC 29418 | 2011-03-21 |
| Find all providers in zip 29418 | ||||
| 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 |
|---|---|---|---|---|
| 1497299853 | Evelyn Dingle I | Social Worker | 2424 City Hall Ln, North Charleston, SC 29406-6538 | 2016-12-05 |
| 1669863338 | Sharon Frazier | Social Worker | 1901 Orvid St, Apt. 1, North Charleston, SC 29405-8270 | 2015-02-16 |
| 1659778512 | Shalena B Williams | Social Worker | 7410 Northside Dr Ste 201, North Charleston, SC 29420-4277 | 2014-11-20 |
| 1093110249 | Hope Young | Social Worker | 8755 Fairwind Dr, Apt G6, North Charleston, SC 29406-9624 | 2014-10-30 |
| 1568866481 | Rickey Ciapha Dennis Sr. | Social Worker | 108 Knightsbridge Drive, North Charleston, SC 29418 | 2014-10-21 |
| 1043284623 | Judith Lynn Hoffman | Social Worker | 9263-a Medical Plaza Drive, North Charleston, SC 29406 | 2006-02-13 |
| 1700372257 | Carolynn Maureen Skiro | Social Worker | 7410 Northside Dr Ste 201, North Charleston, SC 29420-4277 | 2018-07-09 |
| 1376049890 | Victor Dimetri Smith | Social Worker | 2424 City Hall Ln, North Charleston, SC 29406-6538 | 2018-04-03 |
| 1851896252 | Antoinette Renee Pinckney-cobbs | Social Worker | 6650 Rivers Ave, North Charleston, SC 29406-4809 | 2018-03-27 |
| 1922512045 | Donna Dukes Cummings | Social Worker | 4401 Belle Oaks Dr Ste 280, North Charleston, SC 29405-8504 | 2017-11-28 |
| Find all providers in NORTH CHARLESTON | ||||
| City | NORTH CHARLESTON |
| Zip Code | 29418 |
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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.