STEPHANIE CLUBB (NPI# 1194264200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194264200 |
| Entity Type | Individual |
| Full Name | STEPHANIE CLUBB |
| Credential | LCSW |
| Practice Address |
1601 Old South River Rd Saint Charles MO 63303-4120 |
| Mailing Address |
900 E Laharpe St Kirksville MO 63501-4520 |
| Practice Telephone | 6362241100 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149018328 | IL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2015024020 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1601 OLD SOUTH RIVER RD |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63303-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710019898 | Preferred Family Healthcare, Inc. | Substance Abuse Rehabilitation Facility | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2007-03-12 |
| 1093357741 | Meghan Mclaughlin | Counselor | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2019-10-15 |
| 1366094039 | Courtney D Jones | Social Worker | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2019-07-12 |
| 1669039426 | Alicia Marie Johnson | Counselor | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2019-05-28 |
| 1780147181 | Helen Robinson | Social Worker | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2019-04-11 |
| 1245746015 | Gina Garbo | Social Worker | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2017-12-15 |
| 1184158032 | Krystal Schuette | Counselor | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2017-04-18 |
| 1801330071 | Maria Fitzgibbons | Registered Nurse | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2016-12-07 |
| 1679927297 | Kelly Schneider | Social Worker | 1601 Old South River Rd, Saint Charles, MO 63303-4120 | 2016-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214787 | Michael Frederick | Pharmacist | 2855 Veterans Memorial Parkway, (pharmacy), Saint Charles, MO 63303 | 2020-10-30 |
| 1710525639 | Cheryl Ann O'dell | Pharmacist | Schnucks Pharmacy, 60 Harvester Square, St Charles, MO 63303 | 2019-12-11 |
| 1255821302 | Melinda R Winfield | Nurse Practitioner | 1313 Park Ct, Saint Charles, MO 63303 | 2018-05-15 |
| 1467904839 | Heather Lilledahl | Speech-Language Pathologist | 2800 Old Muegge Road, Saint Charles, MO 63303 | 2016-11-01 |
| 1437608312 | Preferred Family Healthcare | Counselor | 1559 Old S. River Road, St.charles, MO 63303 | 2016-10-03 |
| 1487109146 | Annette Patricia Davenport | Nurse Practitioner | 1551 Wall Street, Logistics Health Inc, Suite 100, Saint Charles, MO 63303 | 2016-08-23 |
| 1053762328 | Sarah Biondo | Speech-Language Pathologist | 7204 Fountainview Circle, Ofallon, MO 63303 | 2016-06-28 |
| 1710331335 | Lindsey Ann Eilers | Counselor | 1570 South Main, Saint Charles, MO 63303 | 2016-04-20 |
| 1174914600 | Jacquelyn Michele Miller | Pharmacy Technician | 3881 Mexico Road, Saint Charles, MO 63303 | 2015-02-05 |
| 1164838132 | Francelle Denise Neal | Counselor | 2480 Executive Dr Ste 111, Saint Charles, MO 63303 | 2014-07-10 |
| Find all providers in zip 63303 | ||||
| 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 |
|---|---|---|---|---|
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1457837056 | Leslie Louise Schaeffer | Social Worker | 625 Saint Jovite St, Saint Charles, MO 63304-7933 | 2018-07-17 |
| 1477044865 | Doyne Baker | Social Worker | 1109 Chargene St, Saint Charles, MO 63301-2504 | 2018-05-22 |
| 1821519471 | Natalie Pacini | Social Worker | 210 S 5th St Ste 103, Saint Charles, IL 60174-2700 | 2017-07-05 |
| 1376921064 | Stephanie Taksel | Social Worker | 601 S Benton Ave, Saint Charles, MO 63301-2966 | 2015-05-13 |
| 1750773594 | Cari Mcknight | Social Worker | 4384 Westhampton Place Ct, Saint Charles, MO 63304-8028 | 2015-03-03 |
| 1164829503 | Cherie Magueja | Social Worker | 4332 Westhampton Place Cir, Saint Charles, MO 63304-7998 | 2014-12-01 |
| 1386048965 | Jerry Ciffone | Social Worker | 406 S 9th St, Saint Charles, IL 60174-2612 | 2014-10-10 |
| 1174937098 | Genevieve Rose Hebeka | Social Worker | 320 Beatrice Ave, Saint Charles, IL 60174-4344 | 2014-06-18 |
| 1780012195 | Leslie Wareheim | Social Worker | 219 N 5th St, Suite 100, Saint Charles, MO 63301-1851 | 2013-10-22 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 63303 |
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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.