DEEIDRA S GRAVELY (NPI# 1073077475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073077475 |
| Entity Type | Individual |
| Full Name | DEEIDRA S GRAVELY |
| Other Name | DEEIDRA S BECKETT |
| Credential | LGSW |
| Practice Address |
800 20th St Huntington WV 25703-1850 |
| Mailing Address |
3808 4th Ave Huntington WV 25702-2012 |
| Practice Telephone | 3046968700 |
| Practice Fax Number | 3046968701 |
| Mailing Telephone | 3048405638 |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
BP00945394 | WV | Behavioral Health & Social Service Providers |
| Street Address |
800 20TH ST |
| City | HUNTINGTON |
| State | WV |
| Zip Code | 25703-1850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356444574 | Dawna Eplion | Counselor | 800 20th St, Huntington, WV 25703-1850 | 2006-09-06 |
| 1295203347 | Valley Health Proact Ffs | Family Medicine | 800 20th St, Huntington, WV 25703-1850 | 2018-11-07 |
| 1245707371 | Alexis Joan Patterson | Social Worker | 800 20th St, Huntington, WV 25703-1850 | 2018-10-26 |
| 1124594486 | University Physicians & Surgeons, Inc. | Substance Abuse Rehabilitation Facility | 800 20th St, Huntington, WV 25703-1850 | 2018-10-15 |
| 1407330285 | Tim Adkins | Social Worker | 800 20th St, Huntington, WV 25703-1850 | 2018-09-18 |
| 1609359066 | University Physicians & Surgeons Inc | Pharmacy | 800 20th St, Huntington, WV 25703-1850 | 2018-09-12 |
| 1699257386 | Valley Health Systems, Inc | Family Medicine | 800 20th St, Huntington, WV 25703-1850 | 2018-08-30 |
| 1174066906 | Thomas Lee Thompson Jr. | Social Worker | 800 20th St, Huntington, WV 25703-1850 | 2016-11-28 |
| 1265864425 | Philip Bloomer | Counselor | 800 20th St, Huntington, WV 25703-1850 | 2013-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590021 | Jasmine Maynard | Student in an Organized Health Care Education/Training Program | 1538 Charleston Ave, Huntington, WV 25703 | 2020-08-26 |
| 1073161022 | Art Phillips | Student in an Organized Health Care Education/Training Program | Kopp Building, 1 John Marshall Drive, Huntington, WV 25703 | 2019-09-03 |
| 1447612742 | Ruthie Cooper | Psychiatry & Neurology | 1115 20th St # 205, Huntington, WV 25703 | 2016-03-25 |
| 1194047548 | Peggy Jo Proudfoot Harman | Counselor | 320 18th St., Gullickson Hall Suite G01, Huntington, WV 25703 | 2010-02-25 |
| 1598837460 | Frederick H Sammons Dds Ltd | Dentist | 1040 20th St, Huntington, WV 25703 | 2006-11-15 |
| 1649368291 | Sportscare Medical Associates, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 320 Lynda Ct, Huntington, WV 25703 | 2006-10-10 |
| 1902906019 | Tri-state Allergy, Inc | Allergy & Immunology | 1001 20th Street, Huntington, WV 25703 | 2006-09-25 |
| 1568472512 | Jamie R Stoner | Nurse Practitioner | 2501 3rd Avenue, Huntington, WV 25703 | 2006-08-09 |
| 1790717940 | Jeffrey T Boggess | Psychologist | 1115 20th Street, Suite 205, Huntington, WV 25703 | 2006-07-07 |
| 1184699415 | Valley Health Systems Inc | Obstetrics & Gynecology | 2585 3rd Ave, Huntington, WV 25703 | 2006-02-21 |
| Find all providers in zip 25703 | ||||
| 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 |
|---|---|---|---|---|
| 1083229546 | Linnea Michaels | Social Worker | 23 Tall Oak Dr, Huntington, NY 11743-7115 | 2020-09-11 |
| 1962060053 | Xylem House Counseling and Play Therapy | Social Worker | 2769 Collis Ave, Huntington, WV 25702-1318 | 2019-06-03 |
| 1639734585 | Sean Frazee | Social Worker | 1540 Spring Valley Dr # 116b, Huntington, WV 25704-9300 | 2019-05-07 |
| 1588175517 | Kerry Marie Smalling | Social Worker | 54 Newfoundland Ave, Huntington, NY 11743-4947 | 2017-10-17 |
| 1689190191 | Jeffrey J Freedlund | Social Worker | 1190 North Mohrland Road, Huntington, UT 84528 | 2017-08-16 |
| 1174067268 | Susan Bloch | Social Worker | 59 Glenna Little Trl, Huntington, NY 11743-6729 | 2016-12-08 |
| 1124499470 | Thomas Hlenski | Social Worker | 4 Richard Lane, Huntington, NY 11743 | 2015-10-13 |
| 1053709899 | Lisa Iglesias-maerz | Social Worker | 75 Prospect St Ste 208, Huntington, NY 11743-3310 | 2015-01-01 |
| 1053732065 | Mary Rocchio | Social Worker | 14 Thea Ln, Huntington, NY 11743-2318 | 2013-12-17 |
| 1770913352 | Renata Bergman | Social Worker | 24 Cherry Pl, Huntington, NY 11743-1900 | 2013-11-19 |
| Find all providers in HUNTINGTON | ||||
| City | HUNTINGTON |
| Zip Code | 25703 |
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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.