STACEY KUDER (NPI# 1275020612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275020612 |
| Entity Type | Individual |
| Full Name | STACEY KUDER |
| Credential | LSW, MSW |
| Practice Address |
445 N Cross Pointe Blvd Evansville IN 47715-4010 |
| Mailing Address |
Po Box 1230 Evansville IN 47706-1230 |
| Practice Telephone | 8124714611 |
| Practice Fax Number | 8124714514 |
| Mailing Telephone | 8124714511 |
| Mailing Fax Number | 8124714514 |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 33008162A | IN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34008399A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 S Weinbach Ave, Evansville, IN 477142934 | 8126024022 |
| Street Address |
445 N CROSS POINTE BLVD |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649202631 | Bernard Joel Kay | Social Worker | 445 N Cross Pointe Blvd, Ste 320, Evansville, IN 47715-4010 | 2006-07-07 |
| 1033756150 | George F Girod | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2019-12-09 |
| 1881250637 | Melissa S Johnson | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2019-05-17 |
| 1346726981 | Cory J Roppel | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2018-07-17 |
| 1952815573 | Chelsey Woolsey | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2017-11-17 |
| 1982128724 | Heather N Phelps | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2017-08-02 |
| 1548658420 | Remy Montejano | Counselor | 445 N Cross Pointe Blvd, Suite 320, Evansville, IN 47715-4010 | 2014-12-31 |
| 1689070401 | Dana L Allyn | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2014-11-05 |
| 1497072078 | Christen Baesel | Counselor | 445 N Cross Pointe Blvd, Evansville, IN 47715 | 2010-04-22 |
| 1467577288 | Judy Clara Reising-knapp | Social Worker | 445 N Cross Pointe Blvd, Evansville, IN 47715-4010 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| 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 |
|---|---|---|---|---|
| 1942810486 | Adams Counseling Services LLC | Social Worker | 6221 Physicians Ct # 2, Evansville, IN 47715-4031 | 2020-08-07 |
| 1306328414 | Tracy Lynn Hollander | Social Worker | 529 Herndon Dr, Evansville, IN 47711-3703 | 2018-09-05 |
| 1992295489 | Leeanne Aline Mobley | Social Worker | 414 Se 4th St Ste 101, Evansville, IN 47713-1219 | 2018-05-10 |
| 1023517992 | Michelle Craig | Social Worker | 4415 Posey County Line Rd S, Evansville, IN 47712-9035 | 2018-02-06 |
| 1770096190 | Tiphani Fillingim | Social Worker | 1010 S Weinbach Ave, Evansville, IN 47714-2934 | 2017-11-07 |
| 1174075584 | Aha Now Counseling, LLC | Social Worker | 7144 E Virginia St Ste C, Evansville, IN 47715-9125 | 2016-11-02 |
| 1720536055 | Andrea M Lantz | Social Worker | 20000 Barton Rd, Evansville, IN 47725-7845 | 2016-09-15 |
| 1750739421 | Jordan Wayne Milby | Social Worker | 734 W Delaware St Ste 217, Evansville, IN 47710-1667 | 2016-06-02 |
| 1487021226 | Barbara Avis | Social Worker | 5015 N 1st Ave, Evansville, IN 47710-3913 | 2015-08-27 |
| 1437557626 | Syrrus Powell | Social Worker | 445 N Cross Pointe Blvd Ste 320, Evansville, IN 47715-4013 | 2014-12-20 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
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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.