MRS. SURA MICHELLE PAGE I (NPI# 1356366892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356366892 |
| Entity Type | Individual |
| Full Name | MRS. SURA MICHELLE PAGE I |
| Credential | LCSW |
| Practice Address |
117 Rock Bottom Rd Laurens NY 13796-1214 |
| Practice Telephone | 6072639659 |
| Mailing Telephone | 6072639659 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2009-12-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R054960-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
117 ROCK BOTTOM RD |
| City | LAURENS |
| State | NY |
| Zip Code | 13796-1214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730448499 | Corena Lynn Martin | Registered Nurse | 55 Main St, Laurens, NY 13796 | 2012-05-15 |
| 1396897765 | Laurens Central School | Local Education Agency (LEA) | 55 Main St., Laurens, NY 13796-0301 | 2007-01-17 |
| 1396167730 | Briana Biamonte | Specialist | 113 Anderson Dr, Laurens, NY 13796-1154 | 2014-01-18 |
| 1821198763 | Robin A. Johnston | Nurse Practitioner | 253 Brewster Hill Rd, Laurens, NY 13796-1195 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861005431 | Legacy Counseling and Consulting of South Carolina | Community/Behavioral Health | 62 Bridgeway Dr, Laurens, SC 29360-7452 | 2020-08-24 |
| 1063067296 | Timothy Bradberrry | Technician | 138 Lakewood Dr, Laurens, SC 29360-7500 | 2019-08-05 |
| 1063973394 | Laurens Dsn Board | Early Intervention Provider Agency | 1860 Highway 14, Laurens, SC 29360-5160 | 2019-03-28 |
| 1629564323 | Dj Healthcare Group | Counselor | 639 Sullivan Street, Laurens, SC 29360 | 2018-07-05 |
| 1770082158 | Carrie Abigail Culbertson | Counselor | 112 Henderson Lane, Laurens, SC 29360 | 2018-02-12 |
| 1265953251 | Rpvr Corporation | Pharmacy | 100d Fleming St, Laurens, SC 29360-1902 | 2017-06-29 |
| 1821526294 | Sunnyside Family Dentistry LLC | Clinic/Center | 1500 W Main St Unit 110, Laurens, SC 29360-3767 | 2017-05-30 |
| 1164955076 | Tabitha Speaks | Counselor | 201 Robinson Rd, Laurens, SC 29360-2183 | 2017-04-07 |
| 1508305186 | Amy Ledford Strickland | Nurse Practitioner | 22580 Highway 76 E Ste 300, Laurens, SC 29360 | 2017-02-16 |
| 1255879524 | Sandra Clayton | Licensed Practical Nurse | 609 Green St, Laurens, SC 29360-3464 | 2017-02-07 |
| Find all providers in LAURENS | ||||
| 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 |
|---|---|---|---|---|
| 1497083521 | Deidra Shante Stewart | Social Worker | 112b Bolt Dr, Laurens, SC 29360-1900 | 2009-12-01 |
| 1255674941 | Hope Unlimited Counseling and Consulting, LLC | Social Worker | 112b Bolt Dr, Laurens, SC 29360-1900 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| 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.