BREONNA ANN IVY (NPI# 1083270326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083270326 |
| Entity Type | Individual |
| Full Name | BREONNA ANN IVY |
| Practice Address |
15 N 3rd St Ste 200 Newark OH 43055-5550 |
| Mailing Address |
312 Vernedale Dr Apt D Mount Vernon OH 43050-2954 |
| Practice Telephone | 7403497511 |
| Practice Fax Number | 7405224263 |
| Mailing Telephone | 5673075701 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S.1701454 | OH | Behavioral Health & Social Service Providers |
| Street Address |
15 N 3RD ST STE 200 |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-5550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952828964 | Stephen Craig Mcdonald | Social Worker | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2017-08-30 |
| 1346853959 | Addison Connor Anderson | Case Manager/Care Coordinator | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2020-08-25 |
| 1790398303 | Logan Delaney Harris | Case Manager/Care Coordinator | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2020-08-25 |
| 1629611504 | Vanessa Amy Lacy | Case Manager/Care Coordinator | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2019-10-23 |
| 1235772211 | Crystal E Rushmore | Case Manager/Care Coordinator | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2019-10-23 |
| 1225694185 | Tonya Marie Getter | Case Manager/Care Coordinator | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2019-05-16 |
| 1386200582 | Shelley Jane Meadows | Case Manager/Care Coordinator | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2019-05-13 |
| 1255996278 | Frances Lucille Shreiner | Case Manager/Care Coordinator | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2019-05-06 |
| 1629539044 | Jasmine Santell Tippett | Social Worker | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2019-03-28 |
| 1720553084 | Merissa Fiorilli | Social Worker | 15 N 3rd St Ste 200, Newark, OH 43055-5550 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| 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 |
|---|---|---|---|---|
| 1992303051 | Nerlande Therlonge | Social Worker | 48 Bragaw Ave # 1, Newark, NJ 07112-1546 | 2020-10-12 |
| 1073121448 | Heart Matters LLC | Social Worker | 1018 N Barrett Ln, Newark, DE 19702-6912 | 2020-07-21 |
| 1851919229 | Jennifer Kristina Boyer | Social Worker | 12 Columbia Ave, Newark, NJ 07106-2102 | 2020-07-11 |
| 1609492131 | Jasmin Collazo | Social Worker | 555 Mount Prospect Ave Apt 12e, Newark, NJ 07104-1538 | 2020-06-20 |
| 1306479357 | Anne Louise Fordham | Social Worker | 1159 E Union St Apt 1, Newark, NY 14513-9201 | 2020-02-18 |
| 1528600392 | Sonia Mulero | Social Worker | 140 Bergen St Rm F-1772, Newark, NJ 07103-2425 | 2019-10-14 |
| 1942842935 | Lauren Barile | Social Worker | 2644 Kirkwood Highway #250, Newark, DE 19711 | 2019-10-11 |
| 1043868417 | Scott B Barnthouse Crc LLC | Social Worker | 419 Creek Bend Dr, Newark, DE 19711-3765 | 2019-08-29 |
| 1174176945 | The Winn-win Solution, LLC. | Social Worker | 262 Chapman Rd Ste 103, Newark, DE 19702-5418 | 2019-07-22 |
| 1669030045 | Lisa Gray | Social Worker | 2 Center St Apt 498, Newark, NJ 07102-4563 | 2019-05-31 |
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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.