JENNY LATHUM (NPI# 1104324573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104324573 |
| Entity Type | Individual |
| Full Name | JENNY LATHUM |
| Credential | LMSW |
| Practice Address |
103 El Nathan Drive Marble Hill MO 63764-8342 |
| Mailing Address |
402 S Silver Springs Rd Cape Girardeau MO 63703-7536 |
| Practice Telephone | 5732381027 |
| Practice Fax Number | 5732381171 |
| Mailing Telephone | 5733341100 |
| Mailing Fax Number | 5736514345 |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2015037534 | MO | Behavioral Health & Social Service Providers |
| Street Address |
103 EL NATHAN DRIVE |
| City | MARBLE HILL |
| State | MO |
| Zip Code | 63764-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467950196 | Ronald Brand | Counselor | 103 El Nathan Drive, Marble Hill, MO 63764 | 2018-01-29 |
| 1760094080 | Megan Alexis Mayfield | Social Worker | 103 El Nathan Drive, Marble Hill, MO 63764-8342 | 2020-08-18 |
| 1003396540 | Korey Crum | Counselor | 103 El Nathan Drive, Marble Hill, MO 63764-8342 | 2018-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982201935 | J & J Assisted Living LLC | Assisted Living Facility | 104 Wesbecher Ln, Marble Hill, MO 63764 | 2020-10-02 |
| 1497310932 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 201 Highway 34 West, Marble Hill, MO 63764 | 2019-05-09 |
| 1053827964 | Dianas Boarding Home Inc | Community Based Residential Treatment Facility, Mental Illness | Hc 64, Box 4683, Marble Hill, MO 63764 | 2017-12-15 |
| 1699293274 | Alyssa Naschell Grado | Physical Therapist | 702-mo 34, Marble Hill, MO 63764 | 2017-09-05 |
| 1063969699 | Julie Elfrink | Registered Nurse | 107 N. Hwy 51, Marble Hill, MO 63764 | 2016-09-01 |
| 1194022921 | Suzanne Raye Matthews | Nurse Practitioner | 307 Broadway, Marble Hill, MO 63764 | 2011-02-14 |
| 1619281789 | Ryan Michael Sutterer | Optometrist | 503 W. Main Street, Marble Hill, MO 63764 | 2010-08-01 |
| 1215267976 | L. Mark Milde | Dentist | 101 First St., Marble Hill, MO 63764 | 2009-12-31 |
| 1194985739 | J & J Assistive Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 104 Wesbecher, Marble, MO 63764 | 2008-06-16 |
| 1962565499 | Cross Trails Medical Center | Clinic/Center | 109 Hwy 51 North, Marble Hill, MO 63764 | 2006-12-18 |
| Find all providers in zip 63764 | ||||
| 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 |
|---|---|---|---|---|
| 1760094080 | Megan Alexis Mayfield | Social Worker | 103 El Nathan Drive, Marble Hill, MO 63764-8342 | 2020-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548423 | Leah Myers | Social Worker | 121 Timbercrest Rd, Saint Louis, MO 63122-1311 | 2020-11-04 |
| 1891303483 | Danielle Annette Marvin | Social Worker | 3633 Mcree Ave # A, Saint Louis, MO 63110-2617 | 2020-07-20 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1023639283 | Priscilla Williams | Social Worker | 912 Jefferson St, Saint Charles, MO 63301-2744 | 2020-04-29 |
| 1114556081 | Eric Lee Nelson Wallen | Social Worker | 11 S Division St, Bonne Terre, MO 63628-1772 | 2020-04-03 |
| 1245863125 | Haylie S. Colby | Social Worker | 6300 N Revere Dr Ste 270, Kansas City, MO 64151-3919 | 2020-02-19 |
| 1609409804 | Anastasia Viveros-schmidt | Social Worker | 4031 Central St, Kansas City, MO 64111-2207 | 2020-02-16 |
| 1518598077 | Lee Ann Roberts | Social Worker | 103 Strauss Dr, Park Hills, MO 63601-2400 | 2020-02-03 |
| 1760021034 | Norma Jean Kelley | Social Worker | 1555 Ne Rice Rd Bldg B, Lees Summit, MO 64086-5849 | 2020-01-03 |
| 1356980759 | Erin Honeyfield | Social Worker | 6538 County Road 1730, West Plains, MO 65775-5327 | 2020-01-02 |
| Find all providers with the same taxonomy | ||||
| City | MARBLE HILL |
| Zip Code | 63764 |
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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.