SAMANTHA DURIETZ (NPI# 1144735713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144735713 |
| Entity Type | Individual |
| Full Name | SAMANTHA DURIETZ |
| Practice Address |
8501 Valley Rd Benton IL 62812-4103 |
| Practice Telephone | 3098682725 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149015816 | IL | Behavioral Health & Social Service Providers |
| Street Address |
8501 VALLEY RD |
| City | BENTON |
| State | IL |
| Zip Code | 62812-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| 1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
| 1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
| Find all providers in zip 62812 | ||||
| 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 |
|---|---|---|---|---|
| 1093379935 | Reach Behavioral Health | Social Worker | 17724 Interstate 30 N, Benton, AR 72019-2907 | 2019-04-25 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1497041321 | Laquita Shana Norris | Social Worker | 1920 Congo Rd Ste A, Benton, AR 72015-2884 | 2011-06-20 |
| 1376784686 | Arkansas Elder Solutions | Social Worker | 812 W Cross St, Benton, AR 72015-3628 | 2009-03-16 |
| 1902011000 | Eric Ty Crutchfield | Social Worker | 1502 Mary Kay Ave, Benton, AR 72015 | 2007-05-11 |
| 1801008578 | Herman Harley | Social Worker | 1718 Old Hot Springs Hwy, Benton, AR 72018-1589 | 2007-05-04 |
| 1295870640 | Holly Crutchfield | Social Worker | 17680 Interstate 30 N, Ste 1, Benton, AR 72019-2921 | 2007-02-21 |
| 1508930504 | Patricia Edwards | Social Worker | 1502 Mary Kay Ave., Benton, AR 72015 | 2006-11-20 |
| 1346323227 | Carol G Smith | Social Worker | 83 Wellness Way Fl 2, Benton, KY 42025-7156 | 2006-10-23 |
| 1891880258 | Andrea J King | Social Worker | 100 Rivendell Drive, Benton, AR 72015 | 2006-10-03 |
| Find all providers in BENTON | ||||
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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.