DAYMARK RECOVERY SERVICES INC (NPI# 1275779498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275779498 |
| Entity Type | Organization |
| Organization Name | DAYMARK RECOVERY SERVICES INC |
| Practice Address |
405 Nc Highway 65 Reidsville NC 27320 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1831 |
| Practice Telephone | 3363428316 |
| Practice Fax Number | 3363428352 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | MR. BILLY R WEST JR. (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7049391100 |
| Authorized Official Credential | MSW,LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6006613 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 405 Nc Hwy 65, Wentworth, NC 273750355 | 7049391100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1144790965 | Daymark Recovery Services Inc | Community/Behavioral Health | 110 W Walker Ave Fl 1, Asheboro, NC 27203-6760 | 2018-12-05 |
| 1073035804 | Daymark Recovery Services Inc | Community/Behavioral Health | 2986 Traphill Rd, Classrooms 179, 180, 181, Hays, NC 28635-9386 | 2017-07-13 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1134654601 | Daymark Recovery Services Inc | Counselor | 1104b S Main St, Lexington, NC 27292-3134 | 2017-04-21 |
| 1942759030 | Daymark Recovery Services Inc | Community/Behavioral Health | 190 Mulberry School Rd, Classrooms 139, 141, N Wilkesboro, NC 28659-9112 | 2016-09-29 |
| 1396291035 | Daymark Recovery Services Inc | Psychiatry & Neurology | 109 Goose Rock Ct, Holly Springs, NC 27540-7933 | 2016-09-01 |
| 1952759011 | Daymark Recovery Services Inc | Community/Behavioral Health | 1677 N Nc Highway 16, Classrooms 701,702,703, Wilkesboro, NC 28697-8324 | 2016-05-31 |
| 1942666334 | Daymark Recovery Services Inc | Psychiatry & Neurology | 127 N Tryon St Unit 516, Charlotte, NC 28202-2194 | 2016-01-14 |
| 1417321159 | Daymark Recovery Services Inc | Psychiatry & Neurology | 821 N Bragg Ave, Lookout Mountain, TN 37350-1003 | 2015-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAYMARK RECOVERY SERVICES INC | 360 Beech St, Newland, NC 28657-9670 |
| Street Address |
405 NC HIGHWAY 65 |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084285 | Dawn Madren Corum | Licensed Practical Nurse | 405 Nc Highway 65, Reidsville, NC 27320-8882 | 2018-05-21 |
| 1578074936 | Misty Ellen Stills | Physician Assistant | 405 Nc Highway 65, Reidsville, NC 27320-8882 | 2017-10-12 |
| 1992173082 | Erika Simone Quinlan | Counselor | 405 Nc Highway 65, Reidsville, NC 27320-8882 | 2015-09-08 |
| 1770986937 | Shaleta Lanet Stevenson | Counselor | 405 Nc Highway 65, Reidsville, NC 27320-8882 | 2014-10-02 |
| 1992033484 | Arthur Rudolph Light Jr. | Counselor | 405 Nc Highway 65, Reidsville, NC 27320-8882 | 2009-11-23 |
| 1285863407 | Daymark Recovery Services Inc | Psychiatry & Neurology | 405 Nc Highway 65, Reidsville, NC 27320-8882 | 2009-07-09 |
| 1942434063 | Daymark Recovery Services Inc | Counselor | 405 Nc Highway 65, Reidsville, NC 27320-8882 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| 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 |
|---|---|---|---|---|
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1619254901 | Joshua Ashton Sheets | Social Worker | 621 S Main St Ste 200, Reidsville, NC 27320 | 2011-11-15 |
| 1518012046 | Heather Denise Settle | Social Worker | 232 Gilmer St Ste 208, Reidsville, NC 27320-3862 | 2007-01-24 |
| 1144879156 | Ineshia Reshawn Goods | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-09-11 |
| 1013579945 | Brittney Talia Thomas | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-07-01 |
| 1306406012 | Tonya Ann Bunch | Social Worker | 405 Nc 65, Reidsville, NC 27320-8882 | 2019-06-14 |
| 1972162956 | Jenay Rebecca Cole | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-06-12 |
| 1962061598 | Janaye Shatoya Hargrave | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-06-07 |
| 1124687975 | Jordan Harris Rayfield | Social Worker | 229 Turner Dr, Reidsville, NC 27320-5736 | 2019-06-06 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
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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.