DR. HARRIET A PHELPS (NPI# 1073522306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073522306 |
| Entity Type | Individual |
| Full Name | DR. HARRIET A PHELPS |
| Credential | PSY.D, LISW |
| Practice Address |
718 Bridge Ave Suite 6 Davenport IA 52803-5620 |
| Mailing Address |
Po Box 2783 Davenport IA 52809-2783 |
| Practice Telephone | 5633818088 |
| Practice Fax Number | 5633818077 |
| Mailing Telephone | 5633818088 |
| Mailing Fax Number | 5633818077 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2010-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
00851 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE/CHAMPUS | 1073522306 | 01 | |
| IA | IOWA HEALTH | 216358 | 01 |
| IA | COMPSYCH | 246562 | 01 |
| IA | MIDLANDS CHOICE | 238252 | 01 |
| IA | WELLMARK | 36005 | 01 |
| IA | 0457481 | 05 | |
| IA | RAILROAD MEDICARE | 800013870 | 01 |
| IA | MAGELLAN | 486768000 | 01 |
| IA | VALUE OPTIONS RAILROAD | 396294 | 01 |
| Street Address |
718 BRIDGE AVE SUITE 6 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52803-5620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744538 | Catherine Mary Seng | Chiropractor | 718 Bridge Ave, Suite 4, Davenport, IA 52803-5620 | 2005-07-19 |
| 1023281029 | Joni Lynn Dittmer | Social Worker | 718 Bridge Ave, Davenport, IA 52803-5620 | 2008-04-10 |
| 1598948572 | Employee and Family Counsleing Center | Counselor | 718 Bridge Ave, Davenport, IA 52803-5620 | 2007-12-12 |
| 1336356922 | Timothy James Murphy | Psychologist | 718 Bridge Ave, Suite 8, Davenport, IA 52803-5620 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189971 | Amber Rae Rupiper | Physician Assistant | 518 Locus Street, Davenport, IA 52803 | 2020-09-22 |
| 1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
| 1215383070 | Brittney N Hughes | Nurse Practitioner | 1228 E Rusholme Street, Suite 3020, Davenport, IA 52803 | 2016-05-11 |
| 1992138747 | Sarah Beth Schlickman | Nurse Practitioner | 1228 E Rusholme St Ste 3020, Davenport, IA 52803 | 2013-08-15 |
| 1154763845 | Leslie A Poston | Nurse Practitioner | 1228 E. Rushome Street, Mob I, Suite 2100, Davenport, IA 52803 | 2013-07-23 |
| 1083878896 | Jolene Marie Dague | Dentist | 1905 N. Main St, Davenport, IA 52803 | 2008-07-11 |
| 1952436370 | Joann C Milani | Psychologist | 1503 Brady Street, Davenport, IL 52803 | 2007-02-23 |
| 1942343579 | Lisa Clare Ploehn | Pharmacist | 129 West Locust Street, Davenport, IA 52803 | 2007-02-14 |
| 1366597957 | Cathleen Ann Clark | Social Worker | 1706 N Brady, Suite 204, Davenport, IA 52803 | 2007-01-24 |
| 1184781940 | William Burke Ltd | Durable Medical Equipment & Medical Supplies | 129 West Locust, Davenport, IA 52803 | 2007-01-02 |
| Find all providers in zip 52803 | ||||
| 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 |
|---|---|---|---|---|
| 1669070777 | Carlie Shannon | Social Worker | 736 Federal St., Ste. 1-103, Davenport, IA 52803-5768 | 2020-10-12 |
| 1154945756 | Stephanie Kay Marie Dorton | Social Worker | 2611 W 35th St, Davenport, IA 52806-5222 | 2020-05-31 |
| 1104473321 | Lisa Beatrice Meotti | Social Worker | 439 Chelsea Ave, Davenport, FL 33837-8911 | 2019-08-22 |
| 1295201754 | Lifeskills Connection Inc. | Social Worker | 2800 Eastern Ave Bldg G, Davenport, IA 52803-2012 | 2018-10-22 |
| 1093201444 | Revolution Counseling Services LLC | Social Worker | 601 Brady St Ste 204, Davenport, IA 52803-5251 | 2018-07-09 |
| 1487027405 | Steven Albert Sylvia | Social Worker | 406 Thousand Oaks Blvd, Davenport, FL 33896-8125 | 2015-11-13 |
| 1558777680 | Compassion Therapy Services, LLC | Social Worker | 3475 Jersey Ridge Rd Ste 2, Davenport, IA 52807-2293 | 2014-07-09 |
| 1881024875 | Alexander Nathan Hogg | Social Worker | 1312 Esplanade Ave, Davenport, IA 52803-4156 | 2013-11-12 |
| 1407119548 | Tamara Whiteman Haberman | Social Worker | 321 Boxwood Dr, Davenport, FL 33837-5501 | 2012-06-22 |
| 1326313289 | Jennifer Noto | Social Worker | 2064 Sherbrook Ave, Davenport, FL 33837-4401 | 2012-03-12 |
| Find all providers in DAVENPORT | ||||
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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.