KELLY EILEEN CROOKS (NPI# 1073925723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073925723 |
| Entity Type | Individual |
| Full Name | KELLY EILEEN CROOKS |
| Credential | LCSW |
| Practice Address |
109 3rd St Lincoln IL 62656 |
| Mailing Address |
109 3rd St Lincoln IL 62656-2604 |
| Practice Telephone | 2177352317 |
| Practice Fax Number | 2177326943 |
| Mailing Telephone | 2177352317 |
| Mailing Fax Number | 2177326943 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149-019093 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306836440 | Kelly Wayne Crooks | Chiropractor | 382 W Chestnut St, Suite 103, Washington, PA 15301-4642 | 2005-10-27 |
| Street Address |
109 3RD ST |
| City | LINCOLN |
| State | IL |
| Zip Code | 62656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790785186 | County of Logan | Public Health or Welfare | 109 3rd St, Lincoln, IL 62656-0508 | 2005-07-28 |
| 1972049641 | Board of Trustees of Southern Illinois University | Clinic/Center | 109 3rd St, Lincoln, IL 62656-2604 | 2017-01-18 |
| 1881823011 | Sharon Elizabeth Molitoris | Dentist | 109 3rd St, Lincoln, IL 62656-2604 | 2009-07-09 |
| 1073762290 | County of Logan | Public Health or Welfare | 109 3rd St, Lincoln, IL 62656-2604 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678943 | Carissa Jo O'donoghue | Speech-Language Pathologist | 1000 Railer Way, Lincoln, IL 62656 | 2017-09-15 |
| 1083972012 | Cynthia Dorchinecz | Speech-Language Pathologist | 200 Fifth Street, Lincoln, IL 62656 | 2012-04-27 |
| 1104100114 | Jan E Fehrenbacher | Pharmacist | 603 Woodlawn, Lincoln, IL 62656 | 2011-10-10 |
| 1053633263 | Tazwood Mental Health Center, Inc. | Community/Behavioral Health | 124-126 S. Chicago Street, Lincoln, IL 62656 | 2010-02-16 |
| 1649428756 | Diane E Ulrich | Dentist | 400 N. Chicago St, Lincoln, IL 62656 | 2008-09-03 |
| 1922202944 | Robert C Miller | Dentist | 217 S Kickapoo St, Lincoln, IL 62656 | 2007-06-13 |
| 1720290638 | Lifetime Dental Care of Illinois, PC | Dentist | 411 Keokuk Street, Lincoln, IL 62656 | 2007-05-04 |
| 1982734539 | Wal-mart Stores, Inc. Dba Wal-mart | Technician/Technologist | 825 Malerich Dr., Lincoln, IL 62656 | 2007-03-06 |
| 1861571663 | David R Hepler II | Chiropractor | 2000 Pulaski Street, Lincoln, IL 62656 | 2006-11-03 |
| 1477561793 | Raymond Todd Nobbe | Optometrist | 1400 Woodlawn Road, Lincoln, IL 62656 | 2006-08-03 |
| Find all providers in zip 62656 | ||||
| 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 |
|---|---|---|---|---|
| 1588265128 | Therapeutic Solutions, LLC | Social Worker | 16 Lladnar Dr, Lincoln, RI 02865-4013 | 2020-11-02 |
| 1093316556 | Jamie Rose Liebentritt | Social Worker | 2300 S 16th St Ste 201, Lincoln, NE 68502-3704 | 2020-11-02 |
| 1649870734 | Leeann Wojnowski Horner | Social Worker | 125 Winter St, Lincoln, MA 01773-3501 | 2020-10-28 |
| 1730796327 | Sandra Storer | Social Worker | 89 S Great Rd, Lincoln, MA 01773-4701 | 2020-09-28 |
| 1639719313 | Jessica E Moser | Social Worker | 700 Penrose Dr, Lincoln, NE 68521-8928 | 2020-01-10 |
| 1952886541 | Henry F Harrison | Social Worker | 18 Winter St, Lincoln, MA 01773-3402 | 2018-09-28 |
| 1609359512 | Monique Andree Cremer | Social Worker | 4 E Butterfly Way, Lincoln, RI 02865-3933 | 2018-09-07 |
| 1386126993 | Claire Gerstein | Social Worker | 253 Lincoln Rd, Lincoln, MA 01773-5103 | 2018-08-30 |
| 1598259640 | Jh Wellness Services, LLC | Social Worker | 2737 S 12th St, Lincoln, NE 68502 | 2018-06-20 |
| 1205330230 | Jacqueline Butler | Social Worker | Care Dimensions, 125 Winter Street, Lincoln, MA 01773 | 2018-03-23 |
| Find all providers in LINCOLN | ||||
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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.