KELLY R STEVENSON (NPI# 1215297601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215297601 |
| Entity Type | Individual |
| Full Name | KELLY R STEVENSON |
| Credential | LCSW |
| Practice Address |
1102 Smith Ave Suite K Thomasville GA 31792-5739 |
| Mailing Address |
2131 Wesley Ct Tallahassee FL 32303-2453 |
| Practice Telephone | 2292272429 |
| Practice Fax Number | 2292254374 |
| Mailing Telephone | 8504596961 |
| Mailing Fax Number | 2292254374 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW10550 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW004622 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154634244 | Kelly Marie Stevenson | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2010-07-19 |
| 1780913194 | Kelly Zale Stevenson | Physician Assistant | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2009-12-14 |
| 1346427374 | Kelly Stevenson | Social Worker | 12300 Mccracken Rd, Suite 137, Garfield Heights, OH 44125-2914 | 2008-01-22 |
| 1184761686 | Kelly Stevenson | Occupational Therapist | 1417 Wightman St, Pittsburgh, PA 15217-1240 | 2007-01-31 |
| Street Address |
1102 SMITH AVE SUITE K |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-5739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799142 | James Micheal Casanova | Chiropractor | 1102 Smith Ave, Thomasville, GA 31792-5700 | 2005-09-02 |
| 1881220713 | Elliot Dorian Schmidt | Social Worker | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2020-03-23 |
| 1952937419 | Meagan Mcleod | Social Worker | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2020-03-17 |
| 1346899952 | Branden Tharp | Social Worker | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2019-09-06 |
| 1225534670 | Megan Walker Alligood | Nurse Practitioner | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2018-04-04 |
| 1215475256 | Laurie W Carlton | Counselor | 1102 Smith Ave, Suite K, Thomasville, GA 31792-5739 | 2017-02-10 |
| 1275987414 | Jessica Greil-burkhart | Social Worker | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2016-04-13 |
| 1962887422 | Louise Yale | Counselor | 1102 Smith Ave, Suite K, Thomasville, GA 31792-5739 | 2015-07-27 |
| 1750778676 | Georgia Pines | Community/Behavioral Health | 1102 Smith Ave, Suite H, Thomasville, GA 31792-5739 | 2015-04-17 |
| 1922494731 | Tracy Brack | Counselor | 1102 Smith Ave, Thomasville, GA 31792-5739 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| 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 |
|---|---|---|---|---|
| 1508429861 | Bionca Juannay Stewart | Social Worker | 481 Point Rd, Thomasville, GA 31757-0938 | 2019-04-22 |
| 1831610997 | Laquintine James | Social Worker | 400 S Pinetree Blvd Bldg 414, Thomasville, GA 31792-7128 | 2017-06-29 |
| 1427593318 | Cynthia Renae Carpenter | Social Worker | 90 Westman Cir, Thomasville, AL 36784-4505 | 2016-12-30 |
| 1871901199 | Toni Myers-beck Lcsw | Social Worker | 3663 Cunningham Rd, Thomasville, NC 27360-7046 | 2014-07-30 |
| 1831413426 | Joe Garmon | Social Worker | 200 Gordon Ave, Thomasville, GA 31792-6640 | 2010-03-25 |
| 1457487399 | Julie Lyn Tyson | Social Worker | 105 Lines St, Thomasville, NC 27360-5237 | 2007-02-26 |
| 1538237409 | Rosemary Raye Gamin | Social Worker | 329 N Broad St, Thomasville, GA 31792-8101 | 2006-11-30 |
| 1508961178 | Rebecca Lee Johnson | Social Worker | 17 East Main Street, Thomasville, NC 27360 | 2006-09-14 |
| 1346268752 | Angela Altman Willers | Social Worker | 202 N Crawford St, Thomasville, GA 31792-5123 | 2006-07-17 |
| 1619917358 | Vicki Copeland Steed | Social Worker | 109 Pineywood St, Thomasville, NC 27360-3434 | 2006-06-08 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on KELLY R STEVENSON.
| 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.