MR. GARY L SHORT (NPI# 1164674677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164674677 |
| Entity Type | Individual |
| Full Name | MR. GARY L SHORT |
| Credential | LCSW-R |
| Practice Address |
7634 Campbell Creek Rd Family Life Ministries Bath NY 14810-7612 |
| Mailing Address |
7815 County Route 13 Bath NY 14810-7904 |
| Practice Telephone | 6077764151 |
| Practice Fax Number | 6077766929 |
| Mailing Telephone | 6077764151 |
| Mailing Fax Number | 6077766929 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R02539-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985218 | Gary Short | Registered Nurse | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2018-09-12 |
| 1962650663 | Gary Michael Short | Case Manager/Care Coordinator | 2805 E Zion Rd, Fayetteville, AR 72703-5195 | 2008-09-05 |
| Street Address |
7634 CAMPBELL CREEK RD FAMILY LIFE MINISTRIES |
| City | BATH |
| State | NY |
| Zip Code | 14810-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| 1790186872 | Aspirehope Ny, Inc. | Respite Care | 25 West Steuben St., Bath, NY 14810 | 2014-09-09 |
| 1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
| 1841506003 | Syed M.a. Ehtisham | Orthopaedic Surgery | 7124 Snyder Hill Road, Bath, NY 14810 | 2010-08-26 |
| 1316278831 | Sandra D Martins-skolny | Physical Therapist | 111 Williamson Terrace, Nt, Bath, NY 14810 | 2010-01-22 |
| 1417188947 | Steuben County Office for The Aging | Public Health or Welfare | 3 East Pulteney Sq, Bath, NY 14810 | 2009-07-31 |
| 1619115870 | Judy Ann Thompson | Licensed Practical Nurse | 15 Geneva Street, Bath, NY 14810 | 2009-01-27 |
| 1407020100 | Cathleen A Russell | Licensed Practical Nurse | 6842 Craig Road, Bath, NY 14810 | 2008-04-15 |
| 1952572356 | Institute for Human Services | Case Management | 6666 County Road 11, Bath, NY 14810 | 2008-03-13 |
| 1073791984 | Gerri Ellen Brink | Licensed Practical Nurse | 5635 Tamarack Ln, Bath, NY 14810 | 2008-02-01 |
| Find all providers in zip 14810 | ||||
| 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 |
|---|---|---|---|---|
| 1366952871 | Heather Kathleen Dodge | Social Worker | 9 Bowman St, Bath, ME 04530-2304 | 2017-10-10 |
| 1659825818 | Lacey Andrews Gale | Social Worker | 72 Front St Ste 1, Bath, ME 04530 | 2016-08-05 |
| 1295196343 | Angela Swain | Social Worker | 6666 Babcock Hollow Rd, Bath, NY 14810-7773 | 2016-03-17 |
| 1629331665 | Holly J Donovan | Social Worker | 59 Beacon St Apt 1, Bath, ME 04530-2814 | 2012-06-22 |
| 1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
| 1811271976 | Anne Dauphinais | Social Worker | 20 Windlass Ct #2, Bath, ME 04530-1840 | 2011-10-06 |
| 1225296601 | Desiree Ostiguy | Social Worker | 348 Washington St, Bath, ME 04530-1722 | 2008-06-02 |
| 1467630509 | Nancy Harris Jaeger | Social Worker | 141 Front St, Bath, ME 04530 | 2008-01-31 |
| 1639296049 | Karen Jo Dilley | Social Worker | 1 Lincoln St Ste 3, Bath, ME 04530-2100 | 2007-03-23 |
| 1154484244 | Shira J.s. Barnett | Social Worker | 1 Lincoln Street, Suite 4, Bath, ME 04530 | 2006-12-19 |
| Find all providers in BATH | ||||
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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.