MR. CHRISTOPHER MICHAEL DAVID (NPI# 1164656344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164656344 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER MICHAEL DAVID |
Credential | LCSW |
Practice Address |
2108 63rd St Kenosha WI 53143-4454 |
Practice Telephone | 2626522406 |
Mailing Telephone | 2626522406 |
Enumeration Date | 2009-05-04 |
Last Update Date | 2011-07-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1041C0700X |
Social Worker Specialization: Clinical |
149012107 | IL | Behavioral Health & Social Service Providers |
Y | 1041C0700X |
Social Worker Specialization: Clinical |
7355-123 | WI | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801891122 | Christopher L David | Chiropractor | 1267 Us Highway 127 S, Frankfort, KY 40601-4352 | 2005-06-14 |
1508362849 | Christopher Nicholas David | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr # 0851, San Diego, CA 92103-1911 | 2018-04-04 |
1841656279 | Christopher Allen David | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2016-01-14 |
1417340258 | Christopher David | Physical Therapist | 22995 Mill Creek Dr, Suite A, Laguna Hills, CA 92653-1215 | 2015-03-17 |
1952715880 | Christopher Noel David | Counselor | 225 N Bluff St, Ste. #5, St George, UT 84770-4566 | 2014-06-18 |
1386997625 | Christopher David | Physical Therapist | 23 Robert Pitt Dr, Suite 110, Monsey, NY 10952-3373 | 2012-10-24 |
1487816682 | Christopher K David | Emergency Medicine | 500 Sw Ramsey Ave, Grants Pass, OR 97527-5554 | 2008-06-28 |
Street Address |
2108 63RD ST |
City | KENOSHA |
State | WI |
Zip Code | 53143-4454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609982040 | Brian A Wolf | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2006-08-21 |
1033718440 | Mackenzie Dodge | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-19 |
1194322065 | Susanne Smith | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-10-05 |
1215540547 | Nicholas Dean Dubios-rose | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2020-08-26 |
1972150654 | Nathaniel Willkomann | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-08-19 |
1710548185 | Megan Schilz | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-06-25 |
1588122253 | Carissa Johnson | Social Worker | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-03-12 |
1386117851 | Sarah Magallon | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-08 |
1992278964 | Jamie-lee Nietupski | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2019-01-02 |
1881166189 | Arturo Perez | Counselor | 2108 63rd St, Kenosha, WI 53143-4454 | 2018-12-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891262275 | Shanda L Goecks | Registered Nurse | 6916 26th Ave, Kenosha, WI 53143 | 2018-10-24 |
1689942989 | Racine Kenosha Community Action Agency | Public Health or Welfare | 2000 63rd Street, Kenosha, WI 53143 | 2011-12-01 |
1538497797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7525 Sheridan Rd, Kenosha, WI 53143 | 2009-11-30 |
1497929012 | Ebba M Johnson | Physical Therapist | 524 74th Street, Kenosha, WI 53143 | 2008-04-15 |
1770789489 | Kenosha Community Health Center, Inc | Family Medicine | 6226 14th Ave, Kenosha, WI 53143 | 2007-06-21 |
1558413161 | Junith M Thompson | Obstetrics & Gynecology | 6530 Sheridan Road, Kenosha, WI 53143 | 2007-01-17 |
1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
1578625794 | Michael A Schellpfeffer Md Ob Gyn Sc | Obstetrics & Gynecology | 1400 75th Street, Kenosha, WI 53143 | 2006-12-14 |
1457468654 | Yasmine S Sido | Physician Assistant | 7550 22nd Ave, Kenosha, WI 53143 | 2006-08-24 |
1356307359 | Nancy Jane Houtchens | Dentist | 7533 22nd Ave, Ste 100, Kenosha, WI 53143 | 2006-04-26 |
Find all providers in zip 53143 |
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 |
---|---|---|---|---|
1881228559 | Beloved Wellness Center, LLC | Social Worker | 3535 30th Ave Ste 207, Kenosha, WI 53144-1632 | 2020-03-02 |
1457981730 | Robyn Aronin | Social Worker | 8331 64th St, Kenosha, WI 53142-7578 | 2020-01-25 |
1659918324 | Kelly Sue Renzoni | Social Worker | 6125 Green Bay Rd Ste 700, Kenosha, WI 53142-2928 | 2019-12-02 |
1932603545 | Janice Finerty Lcsw LLC | Social Worker | 6520 67th St, Kenosha, WI 53142-1403 | 2018-03-19 |
1750747325 | Shellie K Babcock, Lcsw LLC | Social Worker | 705 50th St, Kenosha, WI 53140-3336 | 2016-01-12 |
1043683451 | Andrew S Bailey | Social Worker | 3601 30th Ave Suite 102, Kenosha, WI 53144-1642 | 2015-11-06 |
1124390869 | Victoria Mahboub | Social Worker | 6014 41st Ave, Kenosha, WI 53142-7025 | 2012-01-26 |
1750663480 | Thomas Michael Plaga | Social Worker | 5712 66th Pl, Kenosha, WI 53142-1237 | 2011-09-20 |
1114226826 | Shonda Lynn Gagliano | Social Worker | 7723 32nd Ave, Kenosha, WI 53142-4606 | 2011-03-21 |
1750403101 | Susan Marie Panger | Social Worker | 811 60th St, 2e, Kenosha, WI 53140-4074 | 2007-04-05 |
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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.