MS. JUDITH JAN FRADENBURG (NPI# 1083924203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083924203 |
| Entity Type | Individual |
| Full Name | MS. JUDITH JAN FRADENBURG |
| Credential | MSW LCSW |
| Practice Address |
2962 Youth Unlimited Dr Sophia NC 27350-8481 |
| Practice Telephone | 3368619243 |
| Practice Fax Number | 3368619253 |
| Mailing Telephone | 3368619243 |
| Mailing Fax Number | 3368619253 |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007014 | NC | Behavioral Health & Social Service Providers |
| Street Address |
2962 YOUTH UNLIMITED DR |
| City | SOPHIA |
| State | NC |
| Zip Code | 27350-8481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336473479 | Jane Elizabeth Hoonhout | Nurse Practitioner | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2009-09-22 |
| 1336543776 | Keisha Mccleese Moore | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2014-10-14 |
| 1073951281 | Youth Unlimited Inc | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2013-06-10 |
| 1124383054 | Robert Andrew Lindsay Jr. | Social Worker | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801084108 | Debra Lanier Tatum | Counselor | 6658 Flint Hill Rd, Sophia, NC 27350-8120 | 2007-10-11 |
| 1144827585 | Catherine B Sullivan | Registered Nurse | 4111 Beeson Farm Rd, Sophia, NC 27350-8451 | 2020-10-08 |
| 1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
| 1457372088 | Melanie Coble Paschal | Social Worker | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2006-07-21 |
| 1629416003 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-07 |
| 1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1588002703 | Youth Unlimited Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2780 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1679898035 | Martha R Powell | Occupational Therapist | 3917 Old Courthouse Rd, Sophia, NC 27350-8865 | 2010-03-29 |
| 1316087992 | Country Club II | Lodging | 4011 Old Courthouse Rd, Sophia, NC 27350-8866 | 2007-02-06 |
| 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 |
|---|---|---|---|---|
| 1457372088 | Melanie Coble Paschal | Social Worker | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2006-07-21 |
| 1124383054 | Robert Andrew Lindsay Jr. | Social Worker | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
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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.