TAYLOR MARIE VAN WAGNER


Address: 4160 Ocoee St N, Cleveland, TN 37312-4885
Phone: 4235066306

TAYLOR MARIE VAN WAGNER (NPI# 1174015648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174015648
Entity Type Individual
Full Name TAYLOR MARIE VAN WAGNER
Practice Address 4160 Ocoee St N
Cleveland
TN 37312-4885
Practice Telephone 4235066306
Enumeration Date 2018-05-31
Last Update Date 2018-05-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 4160 OCOEE ST N
City CLEVELAND
State TN
Zip Code 37312-4885

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588747943 David Lynn Turpin Chiropractor 4160 Ocoee St N, Suite 4, Cleveland, TN 37312-4885 2006-10-21
1740808179 Jaime M Parker Counselor 4160 Ocoee St N, Cleveland, TN 37312-4885 2020-07-13
1356968861 Brandi Joann Kilpatrick Counselor 4160 Ocoee St N, Cleveland, TN 37312-4885 2020-06-30
1265085351 Kristen Lyle Counselor 4160 Ocoee St N, Cleveland, TN 37312-4885 2019-07-18
1700352812 Cheryl F Scarlett Counselor 4160 Ocoee St N, Cleveland, TN 37312-4885 2018-10-16
1508346099 Lindsay Ellis Conger Nurse Practitioner 4160 Ocoee St N, Cleveland, TN 37312-4885 2018-08-15
1457838799 Shauna Browder Social Worker 4160 Ocoee St N, Cleveland, TN 37312 2018-07-19
1891289161 Erin E Swem Counselor 4160 Ocoee St N, Cleveland, TN 37312-4885 2018-06-19
1871940411 Southern Home Care Services, Inc. In Home Supportive Care 4160 Ocoee St N, Suite 11, Cleveland, TN 37312-4885 2016-05-24
1982951083 Kerri Graham Counselor 4160 Ocoee St N, Cleveland, TN 37312 2012-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366041196 Middle Tennessee Treatment Clinics, LLC Clinic/Center 3575 Keith Street Nw, Cleveland, TN 37312 2020-10-22
1922630870 Samuel Anthony Pharr Physical Therapist 1090 Tasso Lane, Ne, Cleveland, TN 37312 2020-02-09
1508400235 Paul E. Pinson Anesthesiology 3917 Georgetown Road, Nw, Cleveland, TN 37312 2019-11-06
1902456114 Brittani P Munck Technician 147 Gable Dr Nw, Cleveland, TN 37312 2019-09-19
1053975243 Christian Joy Mcgirt Counselor 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 2019-04-24
1629558812 Back In Motion, Inc. Chiropractor 3771 Georgetown Rd. Nw, Cleveland, TN 37312 2018-08-16
1508342221 Andre L James Case Manager/Care Coordinator 2600 Executive Drive, Cleveland, TN 37312 2018-07-16
1386152197 Courtney Ferguson Behavioral Analyst 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 2018-01-15
1669992285 Nurseprofessionals Licensed Practical Nurse 2901 Peerless Road, Cleveland, TN 37312 2017-06-24
1407383334 I Care Eyecare LLC Optometrist 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 2017-05-23
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538766027 Taylor Gallagher Social Worker 4310 E 71st St, Cleveland, OH 44105-5759 2020-10-07
1346853371 Zora Raglow-defranco Social Worker 11075 East Blvd, Cleveland, OH 44106-5409 2020-08-28
1740892108 Eva Robinson-schley Social Worker 4118 E 154th St, Cleveland, OH 44128-1932 2020-08-18
1215546734 Whitney Lyn Powell Social Worker 5500 S Marginal Rd Ste 110, Cleveland, OH 44103-1072 2020-07-30
1043838741 Trina Branham Social Worker 1055 Old River Rd Apt 641, Cleveland, OH 44113-5813 2020-07-09
1497386551 Kanesha Boyd Social Worker 15806 Biltmore Ave, Cleveland, OH 44128-1340 2020-01-28
1922647908 Jocelyn Boyd Social Worker 11201 Shaker Blvd Ste 308, Cleveland, OH 44104-3871 2019-12-23
1154969301 Yvonne Key Social Worker 503 E 124th St, Cleveland, OH 44108-1808 2019-12-18
1225675838 Mporess LLC Social Worker 1282 E 167th St, Cleveland, OH 44110-1556 2019-12-02
1649743139 Chelsea Simon Social Worker 3960 W 23rd St, Cleveland, OH 44109-2908 2019-01-07
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 37312

Improve Information

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Dataset Information

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.

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