TREVOR DION ELFE BLUE (NPI# 1093239113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093239113 |
| Entity Type | Individual |
| Full Name | TREVOR DION ELFE BLUE |
| Practice Address |
2317 Executive Cir Ste B Greenville NC 27834-3762 |
| Practice Telephone | (252) 717-0325 |
| Practice Fax Number | 2527510661 |
| Mailing Telephone | 2527170325 |
| Mailing Fax Number | 2527510661 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2017-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P011807 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LCSWA | P011807 | 01 |
| Street Address |
2317 EXECUTIVE CIR STE B |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750328910 | Wanda Lynn Lancaster | Nurse Practitioner | 2317 Executive Cir Ste B, Executive Park West, Greenville, NC 27834-3762 | 2006-05-31 |
| 1609323047 | Shannon Chamblee | Counselor | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2016-09-01 |
| 1700290954 | Tameika Gay | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2014-06-16 |
| 1073858478 | Courtney Steffenhagen | Marriage & Family Therapist | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-12-11 |
| 1730440439 | Anissa Johnson | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-05-30 |
| 1184984791 | Lynette Arlene Weaver | Counselor | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-05-17 |
| 1578840914 | Karma Davis Warren | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2011-11-14 |
| 1699078311 | Personalized Therapy, Inc. | Community/Behavioral Health | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2010-12-20 |
| 1700095684 | Maria Ann Saporito | Marriage & Family Therapist | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2007-05-21 |
| 1902028228 | Personalized Therapy, Inc. | Community/Behavioral Health | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1710596812 | Kiera Clemmons | Social Worker | 1611 Sandstone Ct, Greenville, NC 27834-0377 | 2020-07-24 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1346870698 | From The Ground Up Wellness Center, LLC | Social Worker | 31 Smith Ave Unit 3, Greenville, RI 02828-1730 | 2020-01-24 |
| 1790324580 | Margaret Vester | Social Worker | 1502 E 4th St, Greenville, NC 27858-2609 | 2019-12-27 |
| 1003467267 | Martrell Denise Kelly John | Social Worker | 250 Commonwealth Dr, Greenville, SC 29615-4846 | 2019-09-27 |
| 1336790633 | Jenna Bonnell Canterbury | Social Worker | 926 Cleveland St Apt 4208, Greenville, SC 29601-4651 | 2019-09-27 |
| 1386294361 | Desirae Rivers | Social Worker | 132 Chandler Dr Apt B, Greenville, NC 27834-6075 | 2019-09-12 |
| 1770048365 | The Soar Firm, LLC | Social Worker | 2320 E North St Ste Gg8, Greenville, SC 29607-1247 | 2019-02-07 |
| 1447733068 | Kerri Lanzieri | Social Worker | 562 Putnam Pike, Greenville, RI 02828-2126 | 2018-09-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.