MR. KENNETH L GASPAR (NPI# 1174511430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174511430 |
| Entity Type | Individual |
| Full Name | MR. KENNETH L GASPAR |
| Credential | LCSW |
| Practice Address |
1741 Sycamore Ave Kingman AZ 86409-0927 |
| Mailing Address |
1743 Sycamore Ave Mohave Mental Health Clinic Inc Kingman AZ 86409-0927 |
| Practice Telephone | 9287578111 |
| Practice Fax Number | 9287573256 |
| Mailing Telephone | 9287578111 |
| Mailing Fax Number | 9287573256 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW3670 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1741 SYCAMORE AVE |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-0927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001863 | Michelle Reid | Nurse Practitioner | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2020-04-08 |
| 1760611677 | Gerhard Francois Gomez | Psychiatry & Neurology | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2009-07-13 |
| 1538346994 | Emmerll Rackley | Nurse Practitioner | 1741 Sycamore Ave, 3508 Western Ave, Kingman, AZ 86409-0927 | 2008-01-29 |
| 1780752816 | Celia Rodriguez | Psychiatry & Neurology | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| 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 |
|---|---|---|---|---|
| 1245581297 | Dorothy Denise Nelson | Social Worker | 964 Gates Ave, Kingman, AZ 86401-4072 | 2012-09-29 |
| 1942448840 | Jeremiah E. Jensen | Social Worker | 1726 Beverly Ave, Kingman Va Cboc, Kingman, AZ 86401 | 2009-01-30 |
| 1194825943 | Bernice Isabel Greene | Social Worker | 1726 E Beverly Ave, Kingman, AZ 86409-3500 | 2006-09-22 |
| 1447247101 | Joseph Carr Stevens | Social Worker | 9323 N Rio Verde Circle, Kingman, AZ 86401 | 2005-09-28 |
| 1225030703 | Shiela Kough | Social Worker | 760 W D Ave, Ste 1, Kingman, KS 67068-1266 | 2005-08-15 |
| 1881059533 | New Counseling & Support Services | Social Worker | 132 W A Ave, Suite 2, Kingman, KS 67068-1305 | 2015-12-23 |
| 1013382613 | Melissa Faye Durden | Social Worker | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2015-12-08 |
| 1912394685 | David A D'auteuil | Social Worker | 2668 Hualapai Mountain Rd, Kingman, AZ 86401 | 2015-04-21 |
| 1376931212 | Alexis Kaye Stewart | Social Worker | 2668 Hualapai Mountain Rd, Kingman Cboc, Kingman, AZ 86401 | 2014-12-30 |
| 1275868952 | Jettie A. Blanton | Social Worker | 3505 Western Ave, Kingman, AZ 86409-3011 | 2009-10-13 |
| Find all providers in KINGMAN | ||||
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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.