MR. JAMES V DRAKE (NPI# 1245326172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245326172 |
| Entity Type | Individual |
| Full Name | MR. JAMES V DRAKE |
| Credential | LCSW |
| Practice Address |
300 Crooks Street Green Bay WI 54305-2308 |
| Mailing Address |
300 Crooks Street Po Box 22308 Green Bay WI 54305-2308 |
| Practice Telephone | 9204366800 |
| Practice Fax Number | 9204325966 |
| Mailing Telephone | 9204366800 |
| Mailing Fax Number | 9204325966 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3078123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39639700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164857496 | James Michael Drake | Occupational Therapist | 52 Cortland St, Norwich, NY 13815 | 2013-09-05 |
| 1841519139 | James J Drake | Student in an Organized Health Care Education/Training Program | 4226 Limestone Trce, Jeffersonville, IN 47130-8792 | 2010-05-26 |
| 1841480001 | James Robert Drake | Physical Therapist | 8648 Old Troy Pike, Suite B, Huber Heights, OH 45424-1069 | 2007-07-25 |
| 1427582378 | James Drake | Student in an Organized Health Care Education/Training Program | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2017-04-18 |
| 1447794250 | James Drake | Contractor | 2808 Hoyt Ave, Ste 201, Everett, WA 98201-3551 | 2016-12-13 |
| 1770969115 | James Bradley Drake | Specialist/Technologist | 9200 University Blvd, North Charleston, SC 29406-9121 | 2015-08-08 |
| 1063752764 | James J Drake | Counselor | 1720 N Westgate Dr, Boise, ID 83704-7164 | 2013-02-18 |
| 1063731487 | James Edwin Drake | Nuclear Medicine | 722 Newman Rd, New Bern, NC 28562-5238 | 2010-05-25 |
| 1083767727 | James Edgar Wayne Drake | Chiropractor | 1860 S Bell School Rd, Cherry Valley, IL 61016-9372 | 2007-01-18 |
| 1164589982 | James Garl Drake | Dentist | 1088 N Skyline Dr, Idaho Falls, ID 83402-1726 | 2007-01-02 |
| Street Address |
300 CROOKS STREET |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54305-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972568608 | Judith M Hodel | Social Worker | 300 Crooks Street, Green Bay, WI 54301 | 2006-04-18 |
| 1417006370 | Lori Warchol | Social Worker | 300 Crooks Street, Green Bay, WI 54305-2308 | 2007-01-09 |
| 1740349166 | Kerri Marie Mcdermott | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-12-08 |
| 1942387345 | Martha J Todd | Counselor | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1740367143 | Stephanie Lynn Adelman | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1821175225 | Marianne E Morris | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1164509576 | Houa D Yang | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-11-01 |
| 1316023542 | Rachel Ann Monfils | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-10-31 |
| 1043396278 | Mark Thomas Simonson | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54301 | 2006-10-31 |
| 1952487183 | Mary Meier | Case Manager/Care Coordinator | 300 Crooks Street, Green Bay, WI 54305-2308 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326213976 | Sheila K Gohr | Counselor | 2945 Shawano Avenue, Green Bay, WI 54305 | 2008-04-24 |
| 1609203504 | Claire Mary Spahn | Pharmacist | 300 Pasteur Dr, Rm H0301, M/c 5616, Stanford, CA 54305 | 2013-10-09 |
| 1679667109 | Bel-regional Home Medical Inc | Pharmacy | 744 S Webster Ave, Green Bay, WI 54305 | 2006-10-02 |
| 1114448040 | Kimberly J Hoffman | Registered Nurse | Po Box 22425, Green Bay, WI 54305-2425 | 2017-06-30 |
| 1003986845 | Eric Maitland Dvorak | Physical Medicine & Rehabilitation | 744 S Webster Ave, Green Bay, WI 54305-2487 | 2006-11-09 |
| 1518903889 | Mary-clare Piontek | Pharmacist | 744 South Webster Ave, Green Bay, WI 54305-3400 | 2006-06-22 |
| 1396872909 | Mary B Fuss | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54305-3400 | 2007-02-28 |
| 1619004025 | Mary J Debbout | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54305-3400 | 2007-02-27 |
| 1922162593 | James Edward Talley | Nurse Anesthetist, Certified Registered | 744 S Webster Ave, Green Bay, WI 54305-3400 | 2006-12-20 |
| 1316263569 | Chris Edwin Anibal | Nurse Practitioner | 744 South Webster Avenue, Green Bay, WI 54305-3500 | 2010-04-13 |
| Find all providers in zip 54305 | ||||
| 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 |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1386154235 | Sara Dorow | Social Worker | 1499 Sixth Street, Green Bay, WI 54304-5430 | 2017-10-05 |
| 1790230589 | Lois Pulvermacher and Associates LLC | Social Worker | 840 Challenger Dr Ste 130, Green Bay, WI 54311-8351 | 2016-08-22 |
| 1194190264 | Ronald Harsh | Social Worker | 1596 Jay Ln, Green Bay, WI 54304-3427 | 2015-12-01 |
| 1851622005 | Michael Andrew Larkey | Social Worker | 815 Reber St, Green Bay, WI 54302-1116 | 2010-01-27 |
| 1861665002 | Leslie A Heckman | Social Worker | 111 S Jefferson Street, Green Bay, WI 54301 | 2008-04-09 |
| 1215078662 | Lois A Pulvermacher | Social Worker | 840 Challenger Dr, Ste 130, Green Bay, WI 54311-8351 | 2007-02-09 |
| 1467599431 | Kathleen J Bahler | Social Worker | 603 Beaupre St, Green Bay, WI 54301-2412 | 2007-01-31 |
| 1437204138 | Lisa Ann Burke | Social Worker | 2339 Cedar Ridge Court, Green Bay, WI 54303 | 2007-01-24 |
| 1831243328 | Barbara D Meyer | Social Worker | 2339 Cedar Ridge, Innovative Counseling Inc, Green Bay, WI 54313 | 2007-01-22 |
| Find all providers in GREEN BAY | ||||
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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.