KINDRED CONNECTIONS THERAPY CENTER (NPI# 1205349156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205349156 |
| Entity Type | Organization |
| Organization Name | KINDRED CONNECTIONS THERAPY CENTER |
| Practice Address |
4699 Salem Ave Dayton OH 45416 |
| Mailing Address |
4699 Salem Ave Dayton OH 45416-1724 |
| Practice Telephone | 9374211268 |
| Mailing Telephone | 9374211268 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MANICKA THOMAS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9372049013 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1700639 | OH | Behavioral Health & Social Service Providers |
| Street Address |
4699 SALEM AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104122043 | Denmar Career Based Training | Home Health | 4699 Salem Ave, Dayton, OH 45416-1724 | 2011-02-09 |
| 1235500596 | Manicka L Thomas | Social Worker | 4699 Salem Ave, Dayton, OH 45416-1724 | 2015-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396200523 | Robert Andre De Roziere Jr. | Nurse Practitioner | Maria Joseph Care Center, 4780 Salem Avenue, Dayton, OH 45416 | 2019-02-01 |
| 1528293131 | Jacqueline Latrese Osborne | Licensed Practical Nurse | 4041 Brumbaugh Boulevard, Dayton, OH 45416 | 2009-05-27 |
| 1679785158 | John Preston Kruse | Chiropractor | 4570 Salem Avenue, Trotwood, OH 45416 | 2007-05-04 |
| 1184617276 | Kwasi A. Nenonene | Family Medicine | 4140 Salem Ave, Dayton, OH 45416 | 2005-08-24 |
| 1538517230 | Michael E. Ecton | Homemaker | 4991 Alhambra Ct, Dayton, OH 45416-1101 | 2016-06-03 |
| 1982854196 | Virginia Danyel Scott | Registered Nurse | 3628 Castano Dr, Trotwood, OH 45416-1106 | 2008-09-24 |
| 1003433848 | Liberty Counseling and Consulting LLC | Clinic/Center | 4769 Free Pike, Dayton, OH 45416-1111 | 2020-06-27 |
| 1003276767 | Brandy Martin | Licensed Practical Nurse | 3692 Hermosa Dr, Dayton, OH 45416-1118 | 2016-02-24 |
| 1902281595 | Myecia Johnson | Licensed Practical Nurse | 3759 Hermosa Dr, Dayton, OH 45416-1119 | 2015-07-23 |
| 1558968503 | Vivian Kimble Walker | Day Training, Developmentally Disabled Services | 3724 Hermosa Dr, Trotwood, OH 45416-1120 | 2020-10-02 |
| Find all providers in zip 45416 | ||||
| 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 |
|---|---|---|---|---|
| 1508332917 | Work It Out Therapeutics, LLC | Social Worker | 159 Old Salem Rd, Dayton, OH 45415-1341 | 2018-10-23 |
| 1982114203 | Vickie Ann Hellmich-bozdech | Social Worker | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2017-10-02 |
| 1306370200 | Ftazia Monay Leininger | Social Worker | 1978 Kendall Ave, Dayton, OH 45414-5519 | 2017-04-18 |
| 1528502531 | Melanie Renee Gecili | Social Worker | 12 Earhart Place, Dayton, OH 45420 | 2016-12-09 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1457714263 | Patricia Hill | Social Worker | 6000 Philadelphia Dr, Dayton, OH 45415-3052 | 2016-03-30 |
| 1932581527 | De'asia Lanee Thompson | Social Worker | 7031 Corporate Way Ste 103, Dayton, OH 45459-4262 | 2015-06-19 |
| 1508256413 | Richard Lee Doran | Social Worker | 380 W 2nd St, Dayton, OH 45422-4999 | 2015-01-29 |
| 1558764043 | Megan E Dixon | Social Worker | 100 Elmwood Park Dr Ste 201, Dayton, OH 45449-5402 | 2014-09-29 |
| 1962812883 | Velma Barber | Social Worker | 1032 Hampshire Rd, Dayton, OH 45419 | 2014-04-30 |
| Find all providers in DAYTON | ||||
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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.