GINA BRUNETTI MILLER (NPI# 1083736235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083736235 |
Entity Type | Individual |
Full Name | GINA BRUNETTI MILLER |
Credential | MS, LCSW |
Practice Address |
3701 E Lake Ctr Ste 8 Quincy IL 62305-5842 |
Mailing Address |
3701 East Lake Center Drive Quincy IL 62301 |
Practice Telephone | 5734067643 |
Mailing Telephone | 5734067643 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 1041C0700X |
Social Worker Specialization: Clinical |
004076 | MO | Behavioral Health & Social Service Providers |
X | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | HEALTH BENIFIT ALLIANCE | 073138 | 01 |
IL | VALUE OPTIONS | 491782 | 01 |
IL | BLUE CROSS | 00132045 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164063434 | Gina Miller | Registered Nurse | 1041 W Bridge St Ste B-5, Phoenixville, PA 19460-4342 | 2019-10-08 |
1992207716 | Gina Kay Miller | Registered Nurse | 4221 Larkwood Rd, Lincoln, NE 68516-5161 | 2018-03-07 |
1447522008 | Gina Marie Miller | Rehabilitation Practitioner | 3423 N Centrepoint Way Unit G103, Meridian, ID 83646-6722 | 2012-01-29 |
1447424296 | Gina L. Miller | Physical Therapist | 878 Admore Dr., Kent, OH 44240 | 2008-04-14 |
1366936445 | Gina Miller | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718-1752 | 2018-06-21 |
1427554260 | Gina Alice Etoll Miller | Student in an Organized Health Care Education/Training Program | Msc 10-5550 1 University of New Mexico, Albuquerque, NM 87131 | 2018-04-02 |
1013393529 | Gina Miller | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2015-08-06 |
1003212804 | Gina Miller | Occupational Therapist | 6317 Highway 329, Crestwood, KY 40014-9040 | 2014-11-06 |
1679832257 | Gina M Miller | Registered Nurse | 3820 Central Ave, St Petersburg, FL 33711-1237 | 2012-05-16 |
1609176585 | Gina F Miller | Physical Therapist | 980 Beaver Grade Rd, Suite 204, Moon Township, PA 15108-2774 | 2010-10-26 |
Street Address |
3701 E LAKE CTR STE 8 |
City | QUINCY |
State | IL |
Zip Code | 62305-5842 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023000155 | Terry W Shaw | Chiropractor | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2005-08-16 |
1073848677 | Catalino G Batiller Jr. | Physical Therapist | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2009-10-15 |
1053503839 | Janet Elizabeth Hay | Counselor | 3701 E Lake Ctr, Suite 7, Quincy, IL 62305-5842 | 2007-08-15 |
1326173410 | Karen R. Harper | Physical Therapist | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2007-02-22 |
1568476794 | Nancy A. Ogle | Nurse Practitioner | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2006-07-27 |
1366465213 | Primary Care Physicians, S.c. | Internal Medicine | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
Find all providers in zip 62305 |
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 |
---|---|---|---|---|
1831726165 | Saira Lopes | Social Worker | 17 Greenleaf St Apt 5, Quincy, MA 02169-4443 | 2020-03-25 |
1649804931 | Nancy Clarke | Social Worker | 179 Thomas Burgin Pkwy, Quincy, MA 02169-4222 | 2020-02-26 |
1922564368 | Arealus Pough | Social Worker | 1 Dunns Hill Rd Apt 4, Quincy, MA 02169-4157 | 2019-02-11 |
1730658824 | David S Novak | Social Worker | 81 Albatross Rd, Quincy, MA 02169-2601 | 2018-11-19 |
1164991725 | Carrie Little | Social Worker | 207 County Hospital Road Suite 109, Quincy, CA 95971 | 2018-11-13 |
1023592748 | Rachel Sonia John | Social Worker | 625 Thomas Burgin Pkwy Apt 419, Quincy, MA 02169-7654 | 2018-09-18 |
1013499300 | Elizabeth Robinson | Social Worker | 44 Shea St, Quincy, MA 02169-5840 | 2018-09-03 |
1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
1932687985 | Stacey Barker | Social Worker | 11 Copley St, Quincy, MA 02170-3033 | 2018-08-01 |
1932686250 | Lee-anne Jacobs | Social Worker | 100 Hancock St Fl 7, Quincy, MA 02171-1745 | 2018-07-20 |
Find all providers in QUINCY |
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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.