JOANNA LUCIA BISSELL (NPI# 1063946929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063946929 |
| Entity Type | Individual |
| Full Name | JOANNA LUCIA BISSELL |
| Credential | LCSW, LCSW-C, LICSW |
| Practice Address |
140 Prospect Ave Ste U Kirkwood MO 63122-6024 |
| Practice Telephone | 3146905873 |
| Practice Fax Number | 3146773326 |
| Mailing Telephone | 3146905873 |
| Mailing Fax Number | 3146773326 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2018039484 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
22628 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 490066029 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Centerway, Suite C, Greenbelt, MD 207701808 | 2027313870 |
| Street Address |
140 PROSPECT AVE STE U |
| City | KIRKWOOD |
| State | MO |
| Zip Code | 63122-6024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868821 | White Stone Psychological Services LLC | Clinic/Center | 140 Prospect Ave Ste U, Kirkwood, MO 63122-6024 | 2020-10-09 |
| 1528595584 | Nicole Dougherty | Counselor | 140 Prospect Ave Ste U, Kirkwood, MO 63122-6024 | 2017-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| 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 |
|---|---|---|---|---|
| 1801289863 | Meredith Mallory Beard | Social Worker | 525 S Fillmore Ave, Kirkwood, MO 63122-6212 | 2015-03-13 |
| 1619241254 | Sarah Buehner | Social Worker | 10801 Big Bend Rd, Kirkwood, MO 63122-6055 | 2012-02-29 |
| 1164790309 | Double Rainbow Counseling | Social Worker | 412 S. Clay Ave, Suite 201, Kirkwood, MO 63122 | 2011-12-02 |
| 1558671305 | Sue Sheridan Keil | Social Worker | 1018 Sylvan Pl, Kirkwood, MO 63122-2825 | 2010-10-14 |
| 1417108598 | Joseph Horton | Social Worker | 1248 N Kirkwood Rd, Kirkwood, MO 63122-1248 | 2008-10-07 |
| 1679751291 | Jack Jacobsen | Social Worker | 412 S Clay Ave Lowr Level, Kirkwood, MO 63122-5860 | 2008-02-06 |
| 1871712729 | Patrick J Fleming | Social Worker | 412 S Clay Ave Ste 201, Kirkwood, MO 63122-5860 | 2007-04-25 |
| 1487657557 | Tamara Beidle | Social Worker | 215 S Kirkwood Rd, Ste 202, Kirkwood, MO 63122-4305 | 2005-05-23 |
| 1124639406 | Lisa Nicole Eilerts | Social Worker | 134 W Madison Ave, Kirkwood, MO 63122-4213 | 2020-08-11 |
| 1962031385 | Shanti Source Counseling LLC | Social Worker | 11042 Manchester Rd, Kirkwood, MO 63122-1244 | 2020-04-07 |
| Find all providers in KIRKWOOD | ||||
Please comment or provide details below to improve the information on JOANNA LUCIA BISSELL.
| 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.