MRS. DEBRA MISSY G EVERSON (NPI# 1124189428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124189428 |
| Entity Type | Individual |
| Full Name | MRS. DEBRA MISSY G EVERSON |
| Credential | LCSW, DCSW |
| Practice Address |
7330 Fern Ave Suite 204 Shreveport LA 71105-4971 |
| Practice Telephone | 3187987664 |
| Practice Fax Number | 3188611710 |
| Mailing Telephone | 3187987664 |
| Mailing Fax Number | 3188611710 |
| Enumeration Date | 2006-12-12 |
| 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 |
1653 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932584893 | Debra Everson | Speech-Language Pathologist | 2550 Sandy Plains Rd Ste 225, Marietta, GA 30066-7223 | 2015-07-21 |
| Street Address |
7330 FERN AVE SUITE 204 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-4971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942244389 | David Hongwei Ren | Ophthalmology | 7330 Fern Ave, Shreveport, LA 71105-4938 | 2006-06-16 |
| 1891285557 | Rosalind Lea Williams | Counselor | 7330 Fern Ave, Shreveport, LA 71105-4971 | 2018-05-17 |
| 1194239509 | Barbara James | Counselor | 7330 Fern Ave, Shreveport, LA 71105-4971 | 2017-11-21 |
| 1831631100 | Brigette Woodruff Moss | Nurse Practitioner | 7330 Fern Ave, Unit 1103, Shreveport, LA 71105-4971 | 2016-11-17 |
| 1467793984 | Kara Romero | Counselor | 7330 Fern Ave, Suite 404, Shreveport, LA 71105-4971 | 2013-03-07 |
| 1750605622 | Eric Marc Erlewine | Community Health Worker | 7330 Fern Ave, Shreveport, LA 71105-4971 | 2010-03-22 |
| 1083840060 | Kristi Lee Kellogg | Physical Therapy Assistant | 7330 Fern Ave, Shreveport, LA 71105-4971 | 2009-06-04 |
| 1851534663 | Jamie Conner | Occupational Therapist | 7330 Fern Ave, Suite 503, Shreveport, LA 71105-4971 | 2009-04-08 |
| 1881851582 | Home Physicians Services, LLC | Emergency Medicine | 7330 Fern Ave, Suite 402, Shreveport, LA 71105-4971 | 2008-05-20 |
| 1407041932 | Sherri Lynn Bardwell | Physical Therapy Assistant | 7330 Fern Ave, Shreveport, LA 71105-4971 | 2007-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| 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 |
|---|---|---|---|---|
| 1568083293 | Mickey Dawnell Lathon | Social Worker | 8823 Chadwick Dr, Shreveport, LA 71129-5124 | 2020-05-05 |
| 1649818303 | Jacinta Tiane Lafleur | Social Worker | 9806 Kingston Rd, Shreveport, LA 71118-5320 | 2019-12-12 |
| 1619537651 | The Therapeutic & Restorative Village | Social Worker | 820 Jordan St Ste 315c, Shreveport, LA 71101-4512 | 2019-06-20 |
| 1700365996 | Turning Point Counseling Services LLC | Social Worker | 234 Mayo Rd, Shreveport, LA 71106-7916 | 2018-08-09 |
| 1528546983 | Lisa Haulmark | Social Worker | 2350 Levy St, Shreveport, LA 71103-3656 | 2018-07-29 |
| 1134625932 | Nikkole Weiss | Social Worker | 3000 Knight St Bldg 5, Shreveport, LA 71105-2566 | 2018-04-02 |
| 1659875219 | Tammi Layne Rider | Social Worker | 4859 Dixie Garden Loop, Shreveport, LA 71105-4035 | 2018-03-20 |
| 1679088355 | Takandra A Johnson | Social Worker | 8700 Millicent Way Apt 605, Shreveport, LA 71115-2254 | 2017-12-04 |
| 1801347232 | James Ross Sr. | Social Worker | 1010 Creswell Ave, Shreveport, LA 71101-3918 | 2016-10-20 |
| 1558713438 | Angela White | Social Worker | 9315 Midvale Dr, Shreveport, LA 71118-3554 | 2016-07-05 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.