JACQUELYN DEECARLO-OMOURYI (NPI# 1285233965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285233965 |
| Entity Type | Individual |
| Full Name | JACQUELYN DEECARLO-OMOURYI |
| Credential | LICSW |
| Practice Address |
560 Concordia Ave Saint Paul MN 55103-2443 |
| Mailing Address |
4525 Heights Dr Columbia Heights MN 55421-3321 |
| Practice Telephone | 2189690948 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
27320 | MN | Behavioral Health & Social Service Providers |
| Street Address |
560 CONCORDIA AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-2443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811062029 | Rudolph Rousseau | Psychologist | 560 Concordia Ave, Ste 1100, Saint Paul, MN 55103-2443 | 2006-11-22 |
| 1750528824 | Jane F. Connelly | Audiologist | 560 Concordia Ave, Rondo Ecse, Saint Paul, MN 55103-2443 | 2009-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| 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 |
|---|---|---|---|---|
| 1912506858 | Rachael Girard Ryan | Social Worker | 1440 Alaska Ave, Saint Paul, MN 55116-2338 | 2020-10-21 |
| 1205443249 | Jesse Cramer LLC | Social Worker | 428 Minnesota St # 500, Saint Paul, MN 55101-2666 | 2020-09-24 |
| 1992345359 | Shannon Marie Lowe | Social Worker | 435 Dorothy Day Pl, Saint Paul, MN 55102-1002 | 2020-01-13 |
| 1588208110 | Ronika Darlene Stibbins | Social Worker | 475 Cleveland Ave N Ste 305&316, Saint Paul, MN 55104-5031 | 2019-11-06 |
| 1396399002 | Shauna Jolene Wiest | Social Worker | 311 Ramsey St Ste 105, Saint Paul, MN 55102-2323 | 2019-07-31 |
| 1336709575 | Storycloth Wellness, LLC | Social Worker | 800 Minnehaha Ave E Ste 330, Saint Paul, MN 55106-4437 | 2019-06-19 |
| 1790344125 | Rebecca Ann Stewart | Social Worker | 605 Ottawa Ave, Saint Paul, MN 55107-2551 | 2019-06-10 |
| 1386202091 | Journeys: A Pathway /to Healing, LLC | Social Worker | 625 Snelling Ave N # 5, Saint Paul, MN 55104-2878 | 2019-05-29 |
| 1174189591 | Kaitlin Voight-fitzpatrick | Social Worker | 438 Dorothy Day Pl, Saint Paul, MN 55102-1081 | 2019-05-10 |
| 1861955908 | Patricia Hendren | Social Worker | 1000 University Ave W, Saint Paul, MN 55104-4746 | 2019-04-06 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55103 |
Please comment or provide details below to improve the information on JACQUELYN DEECARLO-OMOURYI.
| 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.