JESSICA REVELL (NPI# 1093328965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093328965 |
Entity Type | Individual |
Full Name | JESSICA REVELL |
Credential | LSW |
Practice Address |
1330 W 26th St Erie PA 16508-1402 |
Mailing Address |
307 Hillcrest Dr Edinboro PA 16412-2338 |
Practice Telephone | 8144599300 |
Mailing Telephone | 8144904899 |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 104100000X | Social Worker | SW137073 | PA | Behavioral Health & Social Service Providers |
Street Address |
1330 W 26TH ST |
City | ERIE |
State | PA |
Zip Code | 16508-1402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134100258 | Mandy Ann Fauble | Social Worker | 1330 W 26th St, Erie, PA 16508-1402 | 2005-11-07 |
1629675947 | Lynne Ann Heath | Nurse Practitioner | 1330 W 26th St, Erie, PA 16508-1402 | 2020-10-08 |
1588281976 | Alyssa Ann Mineo | Psychologist | 1330 W 26th St, Erie, PA 16508-1402 | 2020-07-01 |
1164045977 | Jessica Frick | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-05-27 |
1487280665 | Keri Ann Walker | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-03-19 |
1558991190 | Patricia Irene Yurkewicz | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-01-23 |
1669002895 | Katie Depanfilis | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2020-01-15 |
1518506716 | Safe Harbor Behavioral Health of Upmc Hamot | Clinic/Center | 1330 W 26th St, Erie, PA 16508-1402 | 2020-01-06 |
1003453234 | Katelynne Hankins | Counselor | 1330 W 26th St, Erie, PA 16508-1402 | 2019-12-06 |
1821633538 | Casey Kathleen Hubbell | Social Worker | 1330 W 26th St, Erie, PA 16508-1402 | 2019-11-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
Find all providers in zip 16508 |
Taxonomy Code | 104100000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
1760958839 | Aaron Joseph Hart | Social Worker | 1001 State St Ste 1300, Erie, PA 16501-1832 | 2018-10-16 |
1710476783 | Kamie Ann Laih | Social Worker | 630 Young Rd Apt 7, Erie, PA 16509-3180 | 2018-05-05 |
1518455922 | Melissa Linville-thatcher | Social Worker | 2564 W 12th St, Erie, PA 16505-4528 | 2018-05-01 |
1669986956 | Gregory John Purchase | Social Worker | 2221 Peninsula Dr Ste 105, Erie, PA 16506-2954 | 2017-11-22 |
1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
1770036055 | Erica Ferraro | Social Worker | 2700 W 21st St Ste 27, Erie, PA 16506-2972 | 2016-08-03 |
1043685746 | Hollie Fortman | Social Worker | 6255 Telegraph Rd Lot 209, Erie, MI 48133-9440 | 2015-12-07 |
1356760607 | Judi Collard | Social Worker | 2208 Buttercup St, Erie, CO 80516-4053 | 2014-04-15 |
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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.