MRS. DARLA B WEXSTTEN (NPI# 1093818114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093818114 |
| Entity Type | Individual |
| Full Name | MRS. DARLA B WEXSTTEN |
| Credential | MSW, LCSW, ACSW |
| Practice Address |
4230 Lincolnshire Dr Suite E Mount Vernon IL 62864-2189 |
| Practice Telephone | 6182424205 |
| Practice Fax Number | 6182424209 |
| Mailing Telephone | 6182424205 |
| Mailing Fax Number | 6182424209 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LCSW | BC/BS 04132009 | 01 |
| IL | LCSW | AETNA 5424723 | 01 |
| IL | LCSW | TRICARE | 01 |
| Street Address |
4230 LINCOLNSHIRE DR SUITE E |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972612901 | Michael Gregory Thompson | Counselor | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-08-30 |
| 1336282276 | Lincolnshire Pharmacy | Pharmacy | 4230 Lincolnshire Dr, Suite F, Mount Vernon, IL 62864-2189 | 2007-02-14 |
| 1659467207 | Sheila J. Ashby | Social Worker | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-10-04 |
| 1184721110 | Lydia Ann Williams | Psychologist | 4230 Lincolnshire Dr, Suite E, Mount Vernon, IL 62864-2189 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| 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 |
|---|---|---|---|---|
| 1629696380 | Betty Delossantos Coleman | Social Worker | 312 Hayward Ave, Mount Vernon, NY 10552-1607 | 2020-07-09 |
| 1821633496 | Zaida A Liranzo | Social Worker | 9 W Prospect Ave Ste 402, Mount Vernon, NY 10550-2048 | 2019-11-07 |
| 1235795493 | North Cascade Recovery | Social Worker | 317 S 2nd St Ste 104, Mount Vernon, WA 98273-3814 | 2019-05-14 |
| 1316502560 | Samiyrah Bennett | Social Worker | 241 S 9th Ave Apt 1h, Mount Vernon, NY 10550-3733 | 2019-05-02 |
| 1336658608 | Haven Empowerment Center | Social Worker | 2 Gramatan Ave Ste 311, Mount Vernon, NY 10550-3216 | 2017-09-29 |
| 1720503584 | Darnell Lollis | Social Worker | 1100 S 2nd St # 2, Mount Vernon, WA 98273-4209 | 2017-08-13 |
| 1053831768 | Tanya Dawson | Social Worker | 300 Hayward Ave Apt 4g, Mount Vernon, NY 10552-1729 | 2017-06-23 |
| 1417408329 | Sean Fenton | Social Worker | 138 N Fulton Ave, Mount Vernon, NY 10550-1507 | 2016-10-17 |
| 1831543115 | Elias Steven Gootzeit | Social Worker | 351 Bedford Ave, Mount Vernon, NY 10553-2018 | 2016-04-22 |
| 1154782266 | Della Ellinger | Social Worker | 7145 Johnstown Rd, Mount Vernon, OH 43050-7521 | 2016-03-16 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
Please comment or provide details below to improve the information on MRS. DARLA B WEXSTTEN.
| 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.