EDWARD JOSEPH KIMMEL JR. (NPI# 1275768244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275768244 |
| Entity Type | Individual |
| Full Name | EDWARD JOSEPH KIMMEL JR. |
| Credential | LCSW |
| Practice Address |
480 Eversman Drive Jasper IN 47547-0769 |
| Mailing Address |
Po Box 769 480 Eversman Drive Jasper IN 47547-0769 |
| Practice Telephone | 8124823020 |
| Practice Fax Number | 8124826409 |
| Mailing Telephone | 8124823020 |
| Mailing Fax Number | 8124826409 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34001093A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100108710A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801963665 | Edward L Kimmel | Optometrist | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-11-29 |
| Street Address |
480 EVERSMAN DRIVE |
| City | JASPER |
| State | IN |
| Zip Code | 47547-0769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447341953 | David Thomas Pryor Jr. | Social Worker | 480 Eversman Drive, Suite F, Jasper, IN 47547-0769 | 2006-09-28 |
| 1952773111 | Kristina Groves | Social Worker | 480 Eversman Drive, Jasper, IN 47547-0769 | 2015-10-28 |
| 1104253814 | Abby Elizabeth Tenbarge | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-27 |
| 1316374069 | Holly E Hughes | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-26 |
| 1265869903 | Jessica Cody Miller | Psychologist | 480 Eversman Drive, Jasper, IN 47547-0769 | 2013-09-26 |
| 1588962377 | Amber Faye Linne | Social Worker | 480 Eversman Drive, Jasper, IN 47546 | 2011-03-03 |
| 1790094324 | Rebecca L. Michael | Social Worker | 480 Eversman Drive, Jasper, IN 47547-0769 | 2010-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922098607 | Greene County General Hospital | Durable Medical Equipment & Medical Supplies | 2515 Newton St, Jasper, IN 47547-1047 | 2005-10-25 |
| 1164758330 | Greene County General Hospital | Assisted Living Facility | 2515 Newton St, Jasper, IN 47547-1047 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487212 | Kelley M Vonderheide | Physical Therapist | 255 W 36th St Ste 100, Jasper, IN 47546-7850 | 2020-11-03 |
| 1437758851 | Marquita Arnell King | Licensed Vocational Nurse | 2402 Donna Dr, Jasper, TX 75951-5915 | 2020-10-19 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| 1609483114 | Marion County Board of Education | Local Education Agency (LEA) | 204 Betsy Pack Dr, Jasper, TN 37347-3324 | 2020-09-29 |
| 1720692965 | Brian Enver Alli | Massage Therapist | 27 Laurel Ridge Lane, Jasper, GA 30143-5104 | 2020-09-04 |
| 1528670452 | The Capstone Rural Health Center | Clinic/Center | 1400 19th St W, Jasper, AL 35501-5171 | 2020-08-21 |
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1053920314 | Little Company of Mary Hospital of Indiana Inc | Surgery | 1025 1st Ave W Ste B, Jasper, IN 47546-3217 | 2020-07-23 |
| 1235755190 | Mackenzie Rose Mendel | Physician Assistant | 721 W 13th St Ste 321, Jasper, IN 47546-1857 | 2020-06-17 |
| Find all providers in JASPER | ||||
| 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 |
|---|---|---|---|---|
| 1154940054 | Joann Pickett | Social Worker | 15 Longwood Pl, Jasper, AL 35504-7231 | 2020-04-10 |
| 1417461302 | Whitney Eaton | Social Worker | 508 Jackson St Ste 2, Jasper, IN 47546-3128 | 2017-11-30 |
| 1184040941 | Crystal Nuss, Lcsw, Pip | Social Worker | 230 N Walston Bridge Rd, Jasper, AL 35504-8623 | 2014-03-17 |
| 1770724973 | John Edward Pinion | Social Worker | 339 Richardson Rd, Jasper, AL 35504-6532 | 2009-03-18 |
| 1831359587 | Mary Dennise Pollyea | Social Worker | 105 Red Oak Lane, Jasper, AR 72641 | 2008-06-16 |
| 1265554398 | Willie Jewel Brown | Social Worker | 255 S. Wheeler Street, Jasper, TX 75951 | 2007-04-06 |
| 1861548984 | Diane Marie Bachman | Social Worker | 4201 Mannheim Rd Ste G, Jasper, IN 47546-9617 | 2007-01-25 |
| 1689786667 | Shelley Young Jones | Social Worker | 1100 7th Avenue, Jasper, AL 35501 | 2006-08-31 |
| 1205864642 | Jennifer A Weisheit | Social Worker | 1025 1st Ave, Jasper, IN 47546-3217 | 2006-06-28 |
| 1134193741 | Kathleen Dunn West | Social Worker | 201 Cove Rd, Jasper, GA 30143-1356 | 2006-02-13 |
| Find all providers in JASPER | ||||
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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.