MR. DERYL STERLING NAZOR (NPI# 1215076047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215076047 |
| Entity Type | Individual |
| Full Name | MR. DERYL STERLING NAZOR |
| Credential | L.S.W. |
| Practice Address |
4200 Park Ave 3rd Floor Ashtabula OH 44004-6887 |
| Mailing Address |
2306 Walnut Blvd. P O Box 802 Ashtabula OH 44005-0802 |
| Practice Telephone | 4409922121 |
| Mailing Telephone | 4409649496 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S0003409 | OH | Behavioral Health & Social Service Providers |
| Street Address |
4200 PARK AVE 3RD FLOOR |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-6887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841692472 | Jennifer Miller | Licensed Practical Nurse | 4200 Park Ave, Ashtabula, OH 44004-6895 | 2014-09-26 |
| 1033411889 | Michell Mcdiffett | Physician Assistant | 4200 Park Ave, Ashtabula, OH 44004-6895 | 2010-11-30 |
| 1215182845 | Ronald Jon Seigman | Counselor | 4200 Park Ave, 2nd Fl, Ashtabula, OH 44004-6895 | 2008-11-24 |
| 1710153697 | Barbara E Padgett | Social Worker | 4200 Park Ave, Second Floor, Ashtabula, OH 44004-6895 | 2008-05-01 |
| 1275738551 | Wayne S. Knesebeck | Specialist | 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004-6887 | 2007-06-18 |
| 1255546081 | Janet Phyllis Fowkes | Social Worker | 4200 Park Ave, North Coast Center Floor 2, Ashtabula, OH 44004 | 2007-05-14 |
| 1801016951 | Samar Said El Sayegh | Psychiatry & Neurology | 4200 Park Ave, 2nd Floor The Northcoast Center, Ashtabula, OH 44004 | 2007-04-30 |
| 1346362563 | Melissa Diane Fields | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-04-06 |
| 1043340946 | The North Coast Center | Community/Behavioral Health | 4200 Park Ave, The North Coast Center, Ashtabula, OH 44004 | 2007-03-07 |
| 1881739159 | Kathleen C Bobulsky | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| 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 |
|---|---|---|---|---|
| 1619351087 | Elizabeth Kuson | Social Worker | 355 W Prospect Rd Ste 116c, Ashtabula, OH 44004-5830 | 2015-07-16 |
| 1770886699 | Jennifer Ellen Troy | Social Worker | 4314 Main Ave, Ashtabula, OH 44004-6883 | 2010-12-15 |
| 1174836258 | Nicole Marie Noscal | Social Worker | 4200 Park Ave Fl 2, Ashtabula, OH 44004-6887 | 2010-07-19 |
| 1720117948 | Jennifer Walsh | Social Worker | 2049 Lake Ave, Sposito Building, Ashtabula, OH 44004-3433 | 2007-03-05 |
| 1316056252 | Hornbeck Associates, Ltd. | Social Worker | 4510 Collins Blvd Ste 4, Ashtabula, OH 44004-6954 | 2006-08-30 |
| 1720060205 | Diane P Kirby | Social Worker | 355 W Prospect, Ste 102, Ashtabula, OH 40004 | 2005-11-18 |
| 1740890110 | Elizabeth Kuson Lisw-s, LLC | Social Worker | 355 W Prospect Rd Ste 116c, Ashtabula, OH 44004-5830 | 2020-07-31 |
| 1508491341 | Rachel Elizabeth Truelsch | Social Worker | 2801 C Ct, Ashtabula, OH 44004-4577 | 2020-03-11 |
| 1588177661 | Kimberly Lynn Goats | Social Worker | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-11-10 |
| 1457873176 | Meghan Elizabeth Zielinski | Social Worker | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2017-07-14 |
| Find all providers in ASHTABULA | ||||
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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.