MR. JIM K INTHANONGSAK (NPI# 1326474131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326474131 |
| Entity Type | Individual |
| Full Name | MR. JIM K INTHANONGSAK |
| Practice Address |
76 Veterans Ave Bath NY 14810-0810 |
| Mailing Address |
115 Orchard St Horseheads NY 14845-2415 |
| Practice Telephone | 6076644335 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
090203-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
76 VETERANS AVE |
| City | BATH |
| State | NY |
| Zip Code | 14810-0810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356332175 | Michael Alan Talone | Physician Assistant | 76 Veterans Ave, Bath Va Medical Center, Bath, NY 14810-0810 | 2005-11-01 |
| 1891305702 | Amanda C Strobel | Social Worker | 76 Veterans Ave, Bath, NY 14810-0810 | 2020-08-05 |
| 1104446533 | Lyndsey Stillman | Social Worker | 76 Veterans Ave, Bath, NY 14810-0810 | 2020-04-27 |
| 1669091997 | Jennifer Lampman | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2020-04-16 |
| 1487205993 | Shirleen Bennett | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-09-25 |
| 1366094914 | Krysta Ann Clark | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-07-14 |
| 1386206837 | Nakita Natay Simons | Social Worker | 76 Veterans Ave, Bath, NY 14810-0840 | 2019-07-05 |
| 1831758796 | Deborah Elaine Strong | Nurse Practitioner | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-06-13 |
| 1295209856 | Sandra Lee Hill | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-01-17 |
| 1679047351 | Kimberly Ann Feehan | Registered Nurse | 76 Veterans Ave, Bath, NY 14810-0810 | 2019-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188835 | Cindy E Perkins | Registered Nurse | 7531 Ct Rt 89, Bath, NY 14810 | 2020-06-12 |
| 1790186872 | Aspirehope Ny, Inc. | Respite Care | 25 West Steuben St., Bath, NY 14810 | 2014-09-09 |
| 1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
| 1841506003 | Syed M.a. Ehtisham | Orthopaedic Surgery | 7124 Snyder Hill Road, Bath, NY 14810 | 2010-08-26 |
| 1316278831 | Sandra D Martins-skolny | Physical Therapist | 111 Williamson Terrace, Nt, Bath, NY 14810 | 2010-01-22 |
| 1417188947 | Steuben County Office for The Aging | Public Health or Welfare | 3 East Pulteney Sq, Bath, NY 14810 | 2009-07-31 |
| 1619115870 | Judy Ann Thompson | Licensed Practical Nurse | 15 Geneva Street, Bath, NY 14810 | 2009-01-27 |
| 1407020100 | Cathleen A Russell | Licensed Practical Nurse | 6842 Craig Road, Bath, NY 14810 | 2008-04-15 |
| 1952572356 | Institute for Human Services | Case Management | 6666 County Road 11, Bath, NY 14810 | 2008-03-13 |
| 1073791984 | Gerri Ellen Brink | Licensed Practical Nurse | 5635 Tamarack Ln, Bath, NY 14810 | 2008-02-01 |
| Find all providers in zip 14810 | ||||
| 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 |
|---|---|---|---|---|
| 1366952871 | Heather Kathleen Dodge | Social Worker | 9 Bowman St, Bath, ME 04530-2304 | 2017-10-10 |
| 1659825818 | Lacey Andrews Gale | Social Worker | 72 Front St Ste 1, Bath, ME 04530 | 2016-08-05 |
| 1295196343 | Angela Swain | Social Worker | 6666 Babcock Hollow Rd, Bath, NY 14810-7773 | 2016-03-17 |
| 1629331665 | Holly J Donovan | Social Worker | 59 Beacon St Apt 1, Bath, ME 04530-2814 | 2012-06-22 |
| 1679858096 | Jean M Wheeler | Social Worker | 216 Maple Heights, Bath, NY 14810 | 2011-10-17 |
| 1811271976 | Anne Dauphinais | Social Worker | 20 Windlass Ct #2, Bath, ME 04530-1840 | 2011-10-06 |
| 1164674677 | Gary L Short | Social Worker | 7634 Campbell Creek Rd, Family Life Ministries, Bath, NY 14810-7612 | 2008-10-15 |
| 1225296601 | Desiree Ostiguy | Social Worker | 348 Washington St, Bath, ME 04530-1722 | 2008-06-02 |
| 1467630509 | Nancy Harris Jaeger | Social Worker | 141 Front St, Bath, ME 04530 | 2008-01-31 |
| 1639296049 | Karen Jo Dilley | Social Worker | 1 Lincoln St Ste 3, Bath, ME 04530-2100 | 2007-03-23 |
| Find all providers in BATH | ||||
Please comment or provide details below to improve the information on MR. JIM K INTHANONGSAK.
| 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.