PROF. ANGELA KATHRYN GADDIS (NPI# 1114132800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114132800 |
| Entity Type | Individual |
| Full Name | PROF. ANGELA KATHRYN GADDIS |
| Credential | LCSW |
| Practice Address |
132 Fairmont St Ste D Clinton MS 39056-4721 |
| Mailing Address |
102 Goshen Springs Ln Brandon MS 39047-7246 |
| Practice Telephone | 6018421890 |
| Enumeration Date | 2007-05-14 |
| 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 |
C2169 | MS | Behavioral Health & Social Service Providers |
| Street Address |
132 FAIRMONT ST STE D |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| 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 |
|---|---|---|---|---|
| 1659985455 | Lisa C Frasca | Social Worker | 1802 State Route 31 Ste 233, Clinton, NJ 08809-2033 | 2020-08-31 |
| 1245855972 | Joshua D. Burgess Lcsw | Social Worker | 63 Norton Ave, Clinton, NY 13323-1321 | 2020-06-09 |
| 1588284210 | Kimberly Wheaton Middleton | Social Worker | 552 Springridge Rd Apt C5, Clinton, MS 39056-5631 | 2020-04-22 |
| 1073161204 | Guiding Light Counseling, LLC | Social Worker | 110 Cow Hill Rd, Clinton, CT 06413-1341 | 2019-08-30 |
| 1679130561 | Joseph Patrick Lamb | Social Worker | 2419 W 1850 N, Clinton, UT 84015-5709 | 2019-05-25 |
| 1538620828 | Rachel H Daniels | Social Worker | 1311 Reserve Dr, Clinton, MS 39056-5658 | 2019-03-28 |
| 1629535166 | Tarsha Harris Moore | Social Worker | 8102 Hunters Green Ct, Clinton, MD 20735-2989 | 2019-02-20 |
| 1174090120 | Shifting Your Gears, LLC | Social Worker | 1802 State Route 31, Clinton, NJ 08809-2033 | 2018-10-29 |
| 1285122432 | Jean M Baker | Social Worker | 3 Fountain St Ste 201, Clinton, NY 13323-1747 | 2018-04-24 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| Find all providers in CLINTON | ||||
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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.