JESSICA STALLARD (NPI# 1083046593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083046593 |
| Entity Type | Individual |
| Full Name | JESSICA STALLARD |
| Credential | LCSW |
| Practice Address |
1120 Bypass Rd Vinton VA 24179 |
| Practice Telephone | 5407672667 |
| Practice Fax Number | 5407672669 |
| Mailing Telephone | 5407672667 |
| Mailing Fax Number | 5407672669 |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2015-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904008299 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1437137734 | 05 |
| Street Address |
1120 BYPASS RD |
| City | VINTON |
| State | VA |
| Zip Code | 24179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255721320 | Lucas Vance | Specialist/Technologist | 1008 Wyndham Dr., Vinton, VA 24179 | 2015-01-28 |
| 1093114787 | Danielle Powell | Specialist/Technologist | 915 Norbourne Avenue, Vinton, VA 24179 | 2014-08-19 |
| 1639375629 | Kenneth J Miller | Chiropractor | 2445 East Washington Ave, Suite B, Vinton, VA 24179 | 2007-06-26 |
| 1659572972 | R. Kevin Greenway, D.d.s. Ralph N. Greenway, D.d.s., P.C. | Dentist | 614 East Washington Avenue, Vinton, VA 24179 | 2007-05-31 |
| 1265651749 | Ralph N. Greenway | Dentist | 614 E.washington Ave., Vinton, VA 24179 | 2007-04-24 |
| 1386653921 | Jtw Pharmacy Inc | Pharmacy | 15818 Stewartsville Rd, Vinton, VA 24179 | 2006-08-05 |
| 1033139944 | Pharmerica Drug Systems LLC | Pharmacy | 9386 Hardy Road, Vinton, VA 24179 | 2006-07-20 |
| 1619996261 | Victor S. Skaff Jr. | Dentist | 1337 Hardy Road, Vinton, VA 24179 | 2006-07-18 |
| 1396728317 | Jefferson Kirkland Teass | Chiropractor | 300 Virginia Ave, Vinton, VA 24179 | 2005-11-23 |
| 1053854141 | Access Family Care of Southwest Virginia | Case Management | 709 Kenyon Rd, Vinton, VA 24179 | 2016-11-22 |
| Find all providers in zip 24179 | ||||
| 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 |
|---|---|---|---|---|
| 1730726746 | Kimberly Lynn Schutterle | Social Worker | 308 4th Ave, Vinton, IA 52349-1955 | 2019-12-09 |
| 1811419617 | Tracie Michelle Etter | Social Worker | 1120 Bypass Road, Vinton, VA 24179-2417 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780420 | Sharon Bixby | Social Worker | 10165 Meadows Rd, Locust Grove, VA 22508-9612 | 2020-11-08 |
| 1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1932700382 | Caitlin Duggan | Social Worker | 5712 Oak Knoll Rd, Midlothian, VA 23112-2400 | 2020-11-03 |
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1841890027 | Heather D Hiner | Social Worker | 735 Sanhill Dr, Lynchburg, VA 24502-4923 | 2020-10-28 |
| 1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
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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.