NICOLE LERAE VARKONDA (NPI# 1093236010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093236010 |
| Entity Type | Individual |
| Full Name | NICOLE LERAE VARKONDA |
| Credential | LISW |
| Practice Address |
4181 Townline Road 111 Plymouth OH 44865 |
| Mailing Address |
4181 Townline 111 Plymouth OH 44865-9684 |
| Practice Telephone | (419) 571-2482 |
| Mailing Telephone | 4195712482 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1600725 | OH | Behavioral Health & Social Service Providers |
| Street Address |
4181 TOWNLINE ROAD 111 |
| City | PLYMOUTH |
| State | OH |
| Zip Code | 44865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437443942 | Kathy Ann Goble | Licensed Practical Nurse | 8247 State Route 61 Lot #22, Plymouth, OH 44865 | 2011-06-01 |
| 1770587693 | Evillo M Domingo | Family Medicine | 25 Spring St, Plymouth, OH 44865 | 2005-06-09 |
| 1114153020 | Rachel Ann Mcclary | Licensed Practical Nurse | 101 Plymouth St, Plymouth, OH 44865-1009 | 2009-06-05 |
| 1306080247 | Jamie L Montgomery | Licensed Practical Nurse | 159 Railroad St, Plymouth, OH 44865-1050 | 2009-04-22 |
| 1033329123 | Jeffery B. Stoller D.d.s I.n.c | Dentist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-23 |
| 1164632253 | Emily Fries | Dental Hygienist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-23 |
| 1811106420 | Jeffery Stoller | Dentist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-21 |
| 1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
| 1346485380 | Plymouth-shiloh Local Schools | Local Education Agency (LEA) | 365 Sandusky St, Plymouth, OH 44865-1135 | 2008-12-04 |
| 1134434772 | Tina Faye Gibson | Licensed Practical Nurse | 63 Park Ave, Plymouth, OH 44865-1148 | 2010-08-06 |
| Find all providers in zip 44865 | ||||
| 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 |
|---|---|---|---|---|
| 1639778996 | Angela Gaynor | Social Worker | 68 Nautical Way, Plymouth, MA 02360-8611 | 2020-10-19 |
| 1649888637 | Look Within Counseling LLC | Social Worker | 1098 Ann Arbor Rd W # 588, Plymouth, MI 48170-2129 | 2020-07-16 |
| 1982236808 | Resilience Coach, LLC | Social Worker | 705 S Main St Ste 101b, Plymouth, MI 48170-1060 | 2020-02-08 |
| 1275178436 | Jennifer A Abraham | Social Worker | 135 Rocky Hill Rd, Plymouth, MA 02360-5524 | 2019-11-12 |
| 1073164349 | Alishia Ebel Lmsw LLC | Social Worker | 496 W Ann Arbor Trl Ste 106, Plymouth, MI 48170-6262 | 2019-09-26 |
| 1366926206 | Elizabeth Paronich | Social Worker | 9 Hibiscus Ln, Plymouth, MA 02360-5344 | 2018-09-17 |
| 1992288609 | Robert Eisenstein | Social Worker | 15 Gallagher Dr, Plymouth, MA 02360-1407 | 2018-09-09 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1588146914 | Alicia Mae Donahue | Social Worker | 15805 26th Ave N Unit D, Plymouth, MN 55447 | 2018-09-01 |
| 1003398645 | Judith A Gonsalves | Social Worker | 36 Cordage Park Cir Ste 326, Plymouth, MA 02360-7320 | 2018-08-30 |
| Find all providers in PLYMOUTH | ||||
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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.