MARION KELLOUGH (NPI# 1154870921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154870921 |
| Entity Type | Individual |
| Full Name | MARION KELLOUGH |
| Credential | L.C.S.W. |
| Practice Address |
420 28th Ave Ste 100 Tuscaloosa AL 35401-1089 |
| Practice Telephone | 2054104061 |
| Mailing Telephone | 2054104061 |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3635C | AL | Behavioral Health & Social Service Providers |
| Street Address |
420 28TH AVE STE 100 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-1089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| 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 |
|---|---|---|---|---|
| 1124627203 | Gabrielle Franklin | Social Worker | 5501 Old Montgomery Hwy Apt 7423, Tuscaloosa, AL 35405-5067 | 2020-10-20 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1598399776 | Alabama Therapy Center, PC | Social Worker | 38 Southmont Dr, Tuscaloosa, AL 35405-4162 | 2020-02-26 |
| 1528604295 | Patricia Ann Doughty | Social Worker | 2123 9th St Ste 114, Tuscaloosa, AL 35401-2364 | 2019-11-18 |
| 1114575768 | Rex Beach Perkins IIi | Social Worker | 1050 Lurleen B Wallace Blvd S, Tuscaloosa, AL 35401-2219 | 2019-08-27 |
| 1992362834 | Clarity Counseling LLC | Social Worker | 2804 8th St, Tuscaloosa, AL 35401-2108 | 2019-05-27 |
| 1740748581 | Washaundra A. Mcneil | Social Worker | 3915 Palisades Dr Ste B, Tuscaloosa, AL 35405-3415 | 2019-03-11 |
| 1386111466 | Jason Ryan Cowart | Social Worker | 10300 Highway 69 S, Tuscaloosa, AL 35405-9684 | 2018-10-27 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1548757594 | Jacquelyne Johnson | Social Worker | 9018 Cotton Field Cir, Tuscaloosa, AL 35405-9643 | 2018-04-16 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
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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.