JENNIFER SIERACKI (NPI# 1114257516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114257516 |
| Entity Type | Individual |
| Full Name | JENNIFER SIERACKI |
| Credential | LGPC |
| Practice Address |
200 Booth St Elkton MD 21921-5657 |
| Practice Telephone | 4109965104 |
| Mailing Telephone | 4109965104 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 102X00000X | Poetry Therapist | LGP2942 | MD | Behavioral Health & Social Service Providers |
| Street Address |
200 BOOTH ST |
| City | ELKTON |
| State | MD |
| Zip Code | 21921-5657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306867346 | Gabrielle Manske | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2006-07-23 |
| 1700483427 | Stephen Paul Kline | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-10-06 |
| 1760098891 | Sydney Shaye Fittro | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2020-09-23 |
| 1043829054 | Alaina Breanne Kahn | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2020-07-26 |
| 1619594488 | Helen Tracey | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-06-28 |
| 1003449661 | Rebecca M Hammonds | Counselor | 200 Booth St, Elkton, MD 21921-5657 | 2020-02-21 |
| 1972149995 | Upper Bay Counseling & Support Services, Inc | Clinic/Center | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-25 |
| 1063057644 | Heather Miller | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2019-11-07 |
| 1114576329 | Kaitlyn Nicole Latham | Social Worker | 200 Booth St, Elkton, MD 21921-5657 | 2019-09-10 |
| 1477102812 | Valerie Nicole Krisa | Specialist/Technologist | 200 Booth St, Elkton, MD 21921-5657 | 2019-09-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034918 | Breathe360 LLC | Internal Medicine | 211 West High Street, Suite 211, Elkton, MD 21921 | 2020-02-07 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1134687841 | Mary May | Occupational Therapy Assistant | 5328 100 Laurel Dr, Elkton, MD 21921 | 2019-03-12 |
| 1922571959 | Christina Marie Diamonte-mock | Social Worker | 306 W. Pulaski Highway, Elkton, MD 21921 | 2019-01-02 |
| 1548730120 | Stephanie Seelinger | Speech-Language Pathologist | 201 Booth Street, Elkton, MD 21921 | 2018-11-27 |
| 1780103069 | Mary Gamble | Social Worker | 1190 Augustine Herman Hwy, Elkton, MD 21921 | 2017-09-18 |
| 1356884605 | Kenneth Wayne Favors | Counselor | 8 Brompton Court, Elkton, MD 21921 | 2016-11-18 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1033552765 | Megan L. Mullins | Counselor | 505 Blue Ball Rd Bldg 140b, Elkton, MD 21921 | 2013-04-11 |
| 1669730537 | Elkton Foot and Ankle Center, Pa | Podiatrist | 205 E Main St Ste 111, Elkton, MD 21921 | 2012-04-30 |
| Find all providers in zip 21921 | ||||
| Taxonomy Code | 102X00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Poetry Therapist |
| A medical or mental health professional who has attained credentials after satisfactorily completing a poetry therapy training program approved by the National Federation for Biblio/Poetry Therapy (NFBPT). Training includes didactic work, peer group experience, and supervised practicum. An NFBPT credentialed certified poetry therapist (CPT) or registered poetry therapist (PTR) integrates discussion of published literature and reflective or creative writing into the psychotherapeutic process to achieve goals of emotional well-being, symptom reduction, and improved interpersonal communication. Certified poetry therapists and registered poetry therapists are licensed mental health professionals with advanced training in the theory and practice of poetry therapy. CPTs and PTRs are qualified to work independently with emotionally troubled populations in clinical, rehabilitative, community and educational institutions. They also work with emotionally healthy individuals adjusting to developmental issues, life crises, or disabilities. The PTR completes an advanced level of training and fieldwork, commensurate with the highest levels of clinical practice. The terms poetry therapy, applied poetry facilitation, journal therapy, bibliotherapy, biblio/poetry therapy, and poetry/journal therapy reflect the interactive use of literature and/or writing to promote personal growth and emotional healing. In addition to poetry, poetry therapy applies all forms or written and spoken language including story, myth, folk and fairy tale and other genres of poetic expression as well as journal, memoir, and narrative. The poetry therapy process integrates discussion of published literature and reflective or creative writing for expression and communication of thoughts and feelings to facilitate participants' emotional well-being. The field of poetry therapy encompasses all of these modalities, though only a duly trained and licensed clinical practitioner can be credentialed as CPT or PTR. |
| Notes: Source: The National Federation for Biblio/Poetry Therapy [7/1/2007: new] |
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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.