MR. TERRY LEE CORYELL STOTLER (NPI# 1306904875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306904875 |
| Entity Type | Individual |
| Full Name | MR. TERRY LEE CORYELL STOTLER |
| Credential | MSW, BCD |
| Practice Address |
6719 Doolittle Dr Edwards CA 93523-2105 |
| Practice Telephone | 6612722183 |
| Practice Fax Number | 6612754099 |
| Mailing Telephone | 6612722183 |
| Mailing Fax Number | 6612754099 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
DP00942520 | WV | Behavioral Health & Social Service Providers |
| Street Address |
6719 DOOLITTLE DR |
| City | EDWARDS |
| State | CA |
| Zip Code | 93523-2105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427373398 | Gregg Alexander Bendrick | Preventive Medicine | 4822 Mckay Ave, Nasa Dryden Flight Research Center, Edwards, CA 93523 | 2010-04-02 |
| 1831545623 | Lee Paschen | Physician Assistant | 30 Nightingale Road, Edwards Afb, CA 93523 | 2016-05-11 |
| 1730606658 | Jeffrey Rodriguez | Military Health Care Provider | 975 Carl Cir, Edwards, CA 93523-1906 | 2017-08-23 |
| 1326414269 | Tamara Hopper Shoulders | Physical Therapist | 755 S Knight Dr, Edwards, CA 93523-2429 | 2015-08-14 |
| 1770775017 | Dawn L. Cotton | Student in an Organized Health Care Education/Training Program | 10 Eagle Ct, Edwards, CA 93523-2619 | 2007-08-10 |
| 1184047144 | Austin Puente | Military Health Care Provider | 1069 Butler Dr, Edwards, CA 93523-2622 | 2014-01-28 |
| 1760887848 | Catherine Cook | Lactation Consultant, Non-RN | 1365 Levier St, Edwards, CA 93523-2705 | 2014-10-30 |
| 1649689514 | Erin Carey | Nurse's Aide | 1460 S Bikle Loop, Edwards, CA 93523-2707 | 2014-08-05 |
| 1134720832 | Shelina Hardwick-moses | Licensed Practical Nurse | 1391 Frost St, Edwards, CA 93523-2715 | 2020-11-08 |
| 1780720805 | Muroc Joint Unified School District | Local Education Agency (LEA) | 17100 Foothill Ave, North Edwards, CA 93523-3533 | 2007-01-29 |
| Find all providers in zip 93523 | ||||
| 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 |
|---|---|---|---|---|
| 1447710934 | Ashton Renee Dunphy | Social Worker | 2203 Cordillera Way, Edwards, CO 81632-6290 | 2019-03-21 |
| 1447678354 | Sheri A Mintz | Social Worker | 98 Aspen Ridge Lane, Edwards, CO 81632-4217 | 2014-03-29 |
| 1912243858 | The Deeper Connections, LLC/dba Stacey Horn | Social Worker | 137 Main St Unit O-201, Edwards, CO 81632 | 2012-12-21 |
| 1104009224 | Karen Lynn Watson | Social Worker | 8514 N Ford Rd, Edwards, IL 61528-9737 | 2007-12-12 |
| 1730669185 | Ryan Coyle | Social Worker | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2018-08-15 |
| 1982888574 | Meredith S Van Ness | Social Worker | 90 Lariat Loop, Edwards, CO 81632 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295244 | Keith Aaron Rivera | Social Worker | 605 Sundahl Dr, Folsom, CA 95630-6353 | 2020-11-03 |
| 1043811482 | Ofelia Stephanie Gonzalez | Social Worker | 252 San Jose St. Upstairs Suite, Salinas, CA 93901 | 2020-11-03 |
| 1780284356 | Tyler Young | Social Worker | 73140 Guadalupe Ave, Palm Desert, CA 92260-2858 | 2020-10-31 |
| 1588264220 | Danielle Segal | Social Worker | 10085 Nicolas Dr Unit B, Truckee, CA 96161-1871 | 2020-10-30 |
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1720688906 | Jennifer L Salcido | Social Worker | 2292 Celeste Ave, Clovis, CA 93611-6253 | 2020-10-28 |
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1730788282 | Fatima Billoo | Social Worker | 18928 Lassen St, Northridge, CA 91324-1835 | 2020-10-25 |
| 1306445903 | Enerje Wellness Licenced Clinical Social Worker | Social Worker | 7121 Magnolia Ave Ste O, Riverside, CA 92504-3805 | 2020-10-23 |
| 1972102671 | Kimberly Sherman | Social Worker | 1110 Ranleigh Way, Piedmont, CA 94610-1135 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
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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.