MRS. CYNTHIA DAWN KETRON (NPI# 1275756983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275756983 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA DAWN KETRON |
| Credential | LCSW |
| Practice Address |
3218 Dutchess Dr Kingsport TN 37663-2904 |
| Practice Telephone | 4232395912 |
| Mailing Telephone | 4232395912 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000003148 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LCSW | LSW0000003148 | 01 |
| Street Address |
3218 DUTCHESS DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37663-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528126 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1567 North Eastman Road, Kingsport, TN 37663 | 2012-08-15 |
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1467746446 | Eric A. Echard | Dentist | 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 | 2011-06-07 |
| 1619003399 | Colonial Heights Pharmacy, Inc. | Pharmacy | 4221 Ft. Henry Drive, Kingsport, TN 37663 | 2007-02-26 |
| 1316005986 | Robert F Mcamis Jr. | Dentist | 4016 Fort Henry Drive, Kingsport, TN 37663 | 2006-12-05 |
| 1467567412 | Colonial Heights Dental Assocaites | Dentist | 150 Clinic Drive, Suite A, Kingsport, TN 37663 | 2006-08-20 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396720108 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 648 Eastern Star Rd, Kingsport, TN 37663 | 2005-12-14 |
| 1023000429 | Darryl Fontaine | Anesthesiology | 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 | 2005-08-22 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| Find all providers in zip 37663 | ||||
| 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 |
|---|---|---|---|---|
| 1134132277 | Earl Harlan White | Social Worker | 1570 Waverly Road, Holston Counseling Services, Kingsport, TN 37664 | 2006-08-13 |
| 1578585469 | Cheri L Anglin | Social Worker | 2758 East Center Street, Kingsport, TN 37664 | 2006-07-23 |
| 1477103661 | Mary Evans | Social Worker | 1025 Executive Park Blvd, Kingsport, TN 37660-4620 | 2019-09-19 |
| 1093296048 | Matthew Andrews | Social Worker | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-08-28 |
| 1326589383 | Krystal Bryant | Social Worker | 2971 Fort Henry Dr, Kingsport, TN 37664-4005 | 2017-03-10 |
| 1962763896 | Brandy Nicole Carraway | Social Worker | 2991 Fort Henry Dr, Kingsport, TN 37664-4005 | 2012-06-07 |
| 1720347081 | Jesse Danielle Gilreath | Social Worker | 102 E Ravine Rd, Kingsport, TN 37660 | 2012-05-08 |
| 1619110319 | Hope Again Counseling and Court Mediation, LLC | Social Worker | 2005 Venture Park, Kingsport, TN 37660-1098 | 2009-04-09 |
| 1992946289 | Rebekah Anne Brown | Social Worker | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2009-03-16 |
| 1417112988 | Kimberly Dawn Fink | Social Worker | 2300 Pavilion Dr, Kingsport, TN 37660-4622 | 2008-07-24 |
| Find all providers in KINGSPORT | ||||
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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.