VIRGINIA LYNN WILLIS (NPI# 1174839641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174839641 |
| Entity Type | Individual |
| Full Name | VIRGINIA LYNN WILLIS |
| Credential | LCSW |
| Practice Address |
1101 Morgan St Suite 8 Paragould AR 72450-3949 |
| Mailing Address |
1815 Pleasant Grove Rd Jonesboro AR 72401-7870 |
| Practice Telephone | 8703359483 |
| Practice Fax Number | 8703359487 |
| Mailing Telephone | 8709336886 |
| Mailing Fax Number | 8709339395 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6221-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 171642795 | 05 | |
| AR | BCBS | 5BA66 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912205303 | Virginia A Willis | Pharmacist | 915 Folly Rd # A, Charleston, SC 29412-3907 | 2011-03-09 |
| 1902892003 | Virginia Gail Willis | Social Worker | 25500 Hawthorne Blvd, Torrance, CO 90505 | 2005-09-23 |
| 1316151459 | Virginia Erin Willis | Psychiatry & Neurology | 1 Childrens Way, Slot 512-15, Little Rock, AR 72202-3500 | 2007-05-09 |
| Street Address |
1101 MORGAN ST SUITE 8 |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851322739 | Christopher Sean Thomas | Counselor | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2006-07-06 |
| 1942707476 | Mikayla White | Case Manager/Care Coordinator | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2018-04-11 |
| 1871967927 | Sally Gibson | Counselor | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2015-11-30 |
| 1477923803 | Garrett L Shepard | Case Manager/Care Coordinator | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2015-09-28 |
| 1851794523 | Ashlie Williams | Psychologist | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2014-10-08 |
| 1750713046 | Skyler Pieri | Case Manager/Care Coordinator | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2013-08-08 |
| 1578801601 | Kayla Mealer | Case Manager/Care Coordinator | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2013-01-24 |
| 1144564022 | Brittany Messer | Case Manager/Care Coordinator | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2012-11-16 |
| 1114270873 | Samantha Wray | Case Manager/Care Coordinator | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2012-10-18 |
| 1497017404 | Leslee Michele Lowe | Nurse Practitioner | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2012-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| 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 |
|---|---|---|---|---|
| 1598932022 | Yasheka Somlar | Social Worker | 2420 Linwood Dr Ste 3, Paragould, AR 72450-6122 | 2008-05-14 |
| 1528238862 | Jennifer Leigh Hollis | Social Worker | 2420 Linwood Dr. Suite 1, Paragould, AR 72450 | 2008-03-03 |
| 1467578336 | Paul Joseph Schandevel | Social Worker | 5515 Old Walcott Rd, Paragould, AR 72450 | 2007-03-22 |
| 1992724751 | Truman D Christian | Social Worker | 202 Foxfire Dr, Paragould, AR 72450-2610 | 2006-07-19 |
| 1265404859 | Sandra Worlow Brown | Social Worker | 1101 Morgan Street, Suite 8, Paragould, AR 72450-3949 | 2006-02-07 |
| 1427619303 | Best of You, LLC | Social Worker | 221 W Main St, Paragould, AR 72450-4327 | 2019-06-22 |
| 1386010536 | Magen Rowe | Social Worker | 28 Southpointe Dr, Paragould, AR 72450-6238 | 2015-08-11 |
| 1902244908 | Joshua Wayne Everett | Social Worker | 1905 Linwood Dr Ste 2, Paragould, AR 72450 | 2013-06-12 |
| 1770860223 | Destiny Wineland | Social Worker | 2420 Linwood Dr Ste 1&2, Paragould, AR 72450-6122 | 2011-11-11 |
| 1922395870 | Ashley D Withrow | Social Worker | 1101 Morgan St, Suite 8, Paragould, AR 72450-3949 | 2011-06-29 |
| Find all providers in PARAGOULD | ||||
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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.