MR. ROGER DUANE EAKS (NPI# 1255320206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255320206 |
| Entity Type | Individual |
| Full Name | MR. ROGER DUANE EAKS |
| Credential | MSSW |
| Practice Address |
Usa Meddac Attn: Credentials 11050 Mt Belvedere Blvd Fort Drum NY 13602-5004 |
| Practice Telephone | 3157724025 |
| Practice Fax Number | 3157729498 |
| Mailing Telephone | 3157724025 |
| Mailing Fax Number | 3157729498 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
228 | CO | Behavioral Health & Social Service Providers |
| Street Address |
USA MEDDAC ATTN: CREDENTIALS 11050 MT BELVEDERE BLVD |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396720488 | Charles David Day | Physician Assistant | Usa Meddac Attn: Credentials, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-12-12 |
| 1629051545 | James Richard Miller | Social Worker | Usa Meddac Attn: Credentials, 11050 Mt Belvedere Blvd, Fort Drum, NY 13603-5004 | 2005-11-23 |
| 1124018650 | Kyle P Bourque | Social Worker | Usa Meddac Attn: Credentials, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-10-26 |
| 1104816875 | Diego De Jesus Gonzalez Perez | Pediatrics | Usa Meddac Attn: Credentials, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-10-25 |
| 1427048412 | Heidi L Boerman | Physician Assistant | Usa Meddac Attn: Credentials, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| 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 |
|---|---|---|---|---|
| 1508395294 | Jamie Michael Bennett | Social Worker | Ebh 1bct 5th Armored Division Drive, Fort Drum, NY 13602 | 2017-06-07 |
| 1942738711 | Michael Kunhavijit | Social Worker | 11050 Mt. Belvedere Blvd, Fort Drum, NY 13602 | 2017-05-24 |
| 1093134165 | Brittney Welborn | Social Worker | 1st Street West, P36, Fort Drum, NY 13602 | 2014-04-15 |
| 1851362743 | Ralph Kirschner Marcellus | Social Worker | Bldg. T-2228, Ft Drum N.y., Fort Drum, NY 13602-5004 | 2006-01-30 |
| 1700860053 | Tammy Lynne Fish | Social Worker | Nash Street Building # T-28, Department of Behavioral Health, Fort Drum, NY 13602 | 2005-11-30 |
| 1538159512 | Jacqueline L Lucas | Social Worker | Usa Meddac, 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-5004 | 2005-10-21 |
| 1821508383 | Richard Murphy | Social Worker | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2017-10-10 |
| 1457804304 | Julie White | Social Worker | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2016-07-27 |
| 1407206154 | Catarina Judy | Social Worker | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2016-06-14 |
| 1275925455 | Shondra Henry | Social Worker | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2015-02-25 |
| Find all providers in FORT DRUM | ||||
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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.