THERESA E SCULLY (NPI# 1316485634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316485634 |
| Entity Type | Individual |
| Full Name | THERESA E SCULLY |
| Credential | LICSW |
| Practice Address |
125 Main St; Unit 220 Williston ND 58801 |
| Mailing Address |
125 Main St Unit 220 Williston ND 58801-6030 |
| Practice Telephone | 7015704602 |
| Mailing Telephone | 7015704602 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4970 | ND | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821189911 | Theresa Scully | Physical Therapist | 1837 W Windy Way, Saint Johns, FL 32259-1945 | 2006-09-27 |
| Street Address |
125 MAIN ST; UNIT 220 |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| 1538504782 | Melissa Fae Nystuen | Social Worker | 316 2nd Ave West, Williston, ND 58801 | 2013-05-01 |
| Find all providers in zip 58801 | ||||
| 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 |
|---|---|---|---|---|
| 1265091235 | Katie Shannon Licsw-llc | Social Worker | 1500 14th St W Ste 230, Williston, ND 58801-4078 | 2019-06-12 |
| 1780165415 | Kaleidoscope Behavioral Health | Social Worker | 511 2nd St W Ste B, Williston, ND 58801-5907 | 2018-08-21 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1538504782 | Melissa Fae Nystuen | Social Worker | 316 2nd Ave West, Williston, ND 58801 | 2013-05-01 |
| 1295085546 | Judith C Daly | Social Worker | 277 Blair Park Rd Ste 210, Williston, VT 05495-7885 | 2012-09-13 |
| 1679837561 | Joan M Zander | Social Worker | 112 42nd St West, Williston, ND 58801 | 2012-06-26 |
| 1497060784 | Priscilla Smith | Social Worker | 18990 Ne 49th St, Williston, FL 32696-1555 | 2010-08-11 |
| 1831379809 | James C Yockim | Social Worker | 1705 3rd Ave W, Williston, ND 58801-4120 | 2007-11-07 |
| 1194838870 | Kimlee Delle Butterfield | Social Worker | 403 White Birch Ln, Williston, VT 05495-7704 | 2006-08-16 |
| 1891759775 | Lori Kay Davis | Social Worker | 183 Talcott Rd Ste 206, Williston, VT 05495-2075 | 2006-04-17 |
| Find all providers in WILLISTON | ||||
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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.