MRS. SEVILLA INGERSOLL LOVE (NPI# 1285825596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285825596 |
Entity Type | Individual |
Full Name | MRS. SEVILLA INGERSOLL LOVE |
Other Name | MS. SEVILLA LYNN INGERSOLL |
Credential | LCSW |
Practice Address |
100 Slocum Dr. King Cove AK 99612 |
Mailing Address |
Po Box 9 King Cove AK 99612-0000 |
Practice Telephone | 9074972311 |
Practice Fax Number | 9074973110 |
Mailing Telephone | 9074972311 |
Mailing Fax Number | 9074973110 |
Enumeration Date | 2007-08-05 |
Last Update Date | 2010-04-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
AA702 | AK | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | DA4460 | 05 | |
AK | MH4238 | 05 |
Street Address |
100 SLOCUM DR. |
City | KING COVE |
State | AK |
Zip Code | 99612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144252529 | Michael E Costa | Dentist | 100 Slocum Dr, King Cove, AK 99612 | 2006-07-07 |
1134696156 | Shonna Wheeler | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2018-10-29 |
1912317207 | Christine Prokop | Counselor | 9 Main Street, King Cove, AK 99612 | 2014-05-07 |
1275875742 | Erik J Linduska | Dental Therapist | 100 Slocum Drive, King Cove, AK 99612 | 2013-03-22 |
1376839233 | Riza Zoe Bendixen | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2011-06-20 |
1154636207 | Summer Ann Mack | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-13 |
1235444886 | Anthony R Brown | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2010-08-06 |
1417192410 | Joanna R. Fountain | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2008-12-05 |
1225281991 | Kendra Eguia | Community Health Worker | 100 Slocum Drive, King Cove, AK 99612 | 2008-10-28 |
1700916780 | Senta J Williams | Specialist | 100 Slocum Drive, King Cove, AK 99612 | 2007-03-07 |
Find all providers in zip 99612 |
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] |
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1134763378 | Idris Usman | Social Worker | 786 D St., Jber-richardson, AK 99505 | 2019-10-31 |
1487298873 | Dan Bigley | Social Worker | 8531 Craiger Ct, Anchorage, AK 99507-3640 | 2019-10-29 |
1093356339 | Jordan Williams | Social Worker | 1503 Liatris Ln, North Pole, AK 99705-5082 | 2019-10-07 |
1851949630 | Elizabeth Green | Social Worker | 743 9th Ave, Fairbanks, AK 99701-4406 | 2019-08-26 |
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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.