STILL WATERS COUNSELING (NPI# 1104335470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104335470 |
| Entity Type | Organization |
| Organization Name | STILL WATERS COUNSELING |
| Practice Address |
2910 Harris St Eureka CA 95503-4811 |
| Practice Telephone | 7078345408 |
| Practice Fax Number | 7074434519 |
| Mailing Telephone | 7078345408 |
| Mailing Fax Number | 7074434519 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | PATRICIA ANNE BLODGETT (OWNER/OPERATOR) |
| Authorized Official Telephone | 7078345408 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOARD OF BEHAVIORAL SERVICES | 1285969436 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699261990 | Still Waters Counseling | Counselor | 442 Nw Wade Street, Estacada, OR 97023 | 2018-07-10 |
| 1851610760 | Still Waters Counseling | Clinic/Center | 1309 Camas St, Blackfoot, ID 83221-3060 | 2010-05-18 |
| 1184870859 | Still Waters Counseling | Community/Behavioral Health | 1330 E Cherry St, Suite 7, Springfield, MO 65802-3429 | 2008-08-13 |
| 1518097997 | Still Waters Counseling | Community/Behavioral Health | 1309 Camas St, Blackfoot, ID 83221-3060 | 2007-03-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | STILL WATERS COUNSELING | 478 Nw Wade St, Estacada, OR 97023 |
| Connecticut Business Registrations | STILL WATERS COUNSELING AND WELLNESS LLC | 278 East St N, Suffield, CT 06078 |
| Oregon Corporations, Companies and Business Names | STILL WATERS COUNSELING CENTER LLC | 1050 Willagillespie Rd Ste 103, Eugene, OR 97401 |
| Colorado Business Entities | Still Waters Counseling L.L.C. | 9220 Kimmer Dr Ste 240, Lone Tree, CO 80124 |
| Colorado Business Entities | Still Waters Counseling Services LLC | 24288 E Brandt Ave, Aurora, CO 80016 |
| Oregon Corporations, Companies and Business Names | STILL WATERS COUNSELING SERVICES, LLC | 66422 Hunter Rd, Summerville, OR 97876 |
| Connecticut Business Registrations | STILL WATERS COUNSELING SERVICES, PLLC | 57 Plains Rd Ste 1a, Milford, CT 06460 |
| System for Award Management (SAM) Entities | STILL WATERS COUNSELING, LLC | 1917 Stubbs Ave Ste B, Monroe, LA 71201-5729 |
| Street Address |
2910 HARRIS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-4811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427472 | Cynthia L Crowley-hardi | Social Worker | 2910 Harris St, Eureka, CA 95503-4811 | 2005-06-15 |
| 1154867299 | Diane Trevoledes Davis | Massage Therapist | 2910 Harris St, Eureka, CA 95503-4811 | 2017-01-12 |
| 1184048126 | Joni Kaye Maher | Social Worker | 2910 Harris St, Eureka, CA 95503-4811 | 2014-02-11 |
| 1699102111 | Sarah Catherine Haag Phd | Psychologist | 2910 Harris St, Eureka, CA 95503-4811 | 2013-09-29 |
| 1992010193 | Trey J Polesky | Social Worker | 2910 Harris St, Eureka, CA 95503-4811 | 2010-08-11 |
| 1205802030 | Karen Mccarthy Price | Psychologist | 2910 Harris St, Eureka, CA 95503 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
| 1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| Find all providers in zip 95503 | ||||
| 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 |
|---|---|---|---|---|
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1801493804 | Autumn Benedetti | Social Worker | 43 Baron Ln, Eureka, MT 59917-9021 | 2020-10-03 |
| 1588159305 | Raquel Elizabeth Lee | Social Worker | 3826 E St, Eureka, CA 95503-6065 | 2018-06-25 |
| 1134611247 | Kathleen Lowder | Social Worker | 525 2nd St Ste 300, Eureka, CA 95501-0488 | 2018-06-04 |
| 1801317052 | Lisa Okeefe | Social Worker | 381 Bayside Road, Eureka, CA 95501-0299 | 2017-06-28 |
| 1639606114 | Nicole Pina | Social Worker | 710 E St, Eureka, CA 95501-1865 | 2017-05-16 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1710331251 | Rita Zito | Social Worker | 3172 Walford Ave Ste 5, Eureka, CA 95503-4898 | 2016-04-21 |
| 1679988042 | Amanda Marie Gilman | Social Worker | 8 Hilltop Village Center Dr, Eureka, MO 63025-1105 | 2014-06-24 |
| 1225307259 | Amy Labovitz Cirincione | Social Worker | 524 5th St, Eureka, CA 95501-1033 | 2011-12-20 |
| Find all providers in EUREKA | ||||
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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.