TERRANCE MCCLELLAN (NPI# 1184259145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184259145 |
| Entity Type | Individual |
| Full Name | TERRANCE MCCLELLAN |
| Practice Address |
915 Highway 84 W Caruthersville MO 63830-8113 |
| Practice Telephone | 5733335875 |
| Mailing Telephone | 5733335875 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
915 HIGHWAY 84 W |
| City | CARUTHERSVILLE |
| State | MO |
| Zip Code | 63830-8113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306299029 | Jennifer Coleman | Community Health Worker | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2016-07-18 |
| 1942813688 | Nadia Mckinney | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-08-24 |
| 1497365175 | Logan Garrett Callahan | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-08-06 |
| 1861000465 | Amber Lynne Cuff | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-07-20 |
| 1295365112 | Vivian Fuller | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-01-20 |
| 1578101176 | Syreeta Barnes | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-12-13 |
| 1003458076 | Katie Beth Rudd | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-10-11 |
| 1598306698 | Elizabeth Ann Ramirez | Behavior Technician | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-10-01 |
| 1295395838 | Willis Jean Wilburn | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-06-17 |
| 1598222333 | Brook Ruble | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216400 | Jazmyne S Hall | Behavior Technician | 915 Highway 84, Caruthersville, MO 63830 | 2019-10-14 |
| 1134573017 | Nathan Straeter | Pharmacist | State Highway 84 West, Caruthersville, MO 63830 | 2016-04-18 |
| 1861805624 | Ashley Marie Ballard | Case Manager/Care Coordinator | 10 & Ward Suite C, Caruthersville, MO 63830 | 2014-06-09 |
| 1356764435 | Jena Payne | Case Manager/Care Coordinator | 10th Ward St, Caruthersville, MO 63830 | 2014-01-27 |
| 1619390705 | James Smith | Case Manager/Care Coordinator | 10th & Ward Suite B, Caruthersville, MO 63830 | 2014-01-27 |
| 1730501370 | Belinda Fields | Community Health Worker | 10th & Ward, C, Caruthersville, MO 63830 | 2014-01-16 |
| 1831387372 | T M Swinger & D V Mckillip, Ptr | Optometrist | 101 E. 10th St., Suite A, Caruthersville, MO 63830 | 2007-10-10 |
| 1437284635 | Terrence M Swinger | Optometrist | 101 E. Tenth St., Suite A, Caruthersville, MO 63830 | 2007-02-21 |
| 1114097581 | John D Gardner | Dentist | 1210 Ward Ave, Caruthersville, MO 63830 | 2006-11-09 |
| 1366512287 | Krilurk Chanvitayapongs | Pharmacist | 2709 South Ward, Caruthersville, MO 63830 | 2006-11-08 |
| Find all providers in zip 63830 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861805624 | Ashley Marie Ballard | Case Manager/Care Coordinator | 10 & Ward Suite C, Caruthersville, MO 63830 | 2014-06-09 |
| 1356764435 | Jena Payne | Case Manager/Care Coordinator | 10th Ward St, Caruthersville, MO 63830 | 2014-01-27 |
| 1619390705 | James Smith | Case Manager/Care Coordinator | 10th & Ward Suite B, Caruthersville, MO 63830 | 2014-01-27 |
| 1861000465 | Amber Lynne Cuff | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2020-07-20 |
| 1578101176 | Syreeta Barnes | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-12-13 |
| 1295395838 | Willis Jean Wilburn | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-06-17 |
| 1093374266 | Guardian Angels In Home Services, LLC | Case Manager/Care Coordinator | 1227 Laurant Ave, Caruthersville, MO 63830-2145 | 2019-06-11 |
| 1598222333 | Brook Ruble | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2019-02-28 |
| 1780134213 | Kawonder Moore | Case Manager/Care Coordinator | 915 Highway 84 W, Caruthersville, MO 63830-8113 | 2016-10-07 |
| 1548517501 | Patricia Newman | Case Manager/Care Coordinator | 100 E 10th St, Suite B, Caruthersville, MO 63830-1920 | 2012-08-09 |
| Find all providers in CARUTHERSVILLE | ||||
| City | CARUTHERSVILLE |
| Zip Code | 63830 |
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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.