INTEGRATED BEHAVIORAL WELLNESS, LLC (NPI# 1366637167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366637167 |
| Entity Type | Organization |
| Organization Name | INTEGRATED BEHAVIORAL WELLNESS, LLC |
| Practice Address |
2 Fountain St Ste 110 Clinton NY 13323-1725 |
| Mailing Address |
601 Gates Rd Ste 3 Vestal NY 13850-2288 |
| Practice Telephone | 3153813101 |
| Mailing Telephone | 6077729462 |
| Mailing Fax Number | 6077721223 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |
| Authorized Official Name | JAMES E KLEIN (DIRECTOR) |
| Authorized Official Telephone | 3153813101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
052946 | NY | Behavioral Health & Social Service Providers |
| Street Address |
2 FOUNTAIN ST STE 110 |
| City | CLINTON |
| State | NY |
| Zip Code | 13323-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578653838 | Neal M. Borenstein | Psychiatry & Neurology | 2 Fountain St, Clinton, NY 13323-1725 | 2006-10-14 |
| 1205145638 | Sarah Marie Slivinski | Early Intervention Provider Agency | 2 Fountain St, Clinton, NY 13323-1725 | 2010-10-04 |
| 1053629154 | Lisa L Lynch | Early Intervention Provider Agency | 2 Fountain St, Sutite 109, Clinton, NY 13323-1725 | 2010-09-23 |
| 1952621369 | Allison Allen | Early Intervention Provider Agency | 2 Fountain St, Suite 109, Clinton, NY 13323-1725 | 2010-06-08 |
| 1952536302 | Michelle Puleo O'brien | Speech-Language Pathologist | 2 Fountain St, Suite 109, Clinton, NY 13323-1725 | 2009-05-28 |
| 1306071998 | Laurie E Bond | Occupational Therapist | 2 Fountain St, Suite 109, Clinton, NY 13323-1725 | 2009-05-26 |
| 1104062744 | Gennifer Lynn Pole | Speech-Language Pathologist | 2 Fountain St, Clinton, NY 13323-1725 | 2009-01-04 |
| 1760628754 | Building Blocks Learning Center,llc | Early Intervention Provider Agency | 2 Fountain St, Suite 109, Clinton, NY 13323-1725 | 2008-12-23 |
| 1598900029 | Olivia P Decola | Speech-Language Pathologist | 2 Fountain St, Suite 109, Clinton, NY 13323-1725 | 2008-12-12 |
| 1134317795 | Erik N. Schlosser | Psychologist | 2 Fountain St, #205, Clinton, NY 13323-1725 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629603881 | Dynamic Chiropractic and Physical Therapy Pllc | Clinic/Center | 7883 Seneca Turnpike, Clinton, Clinton, NY 13323 | 2020-03-09 |
| 1558736413 | John Alexander Nasrinpay | Physical Therapist | 7883 Seneca Turnpike, Clinton, NY 13323 | 2015-12-03 |
| 1518216043 | Lesley Vella | Speech-Language Pathologist | 2 East Park Row, Clinton, NY 13323 | 2012-08-30 |
| 1649329087 | Marsette A Vona Dmd PC | Dentist | 5 South Park Row, Clinton, NY 13323 | 2007-01-08 |
| 1366557084 | Donna R Kapes | Social Worker | 2 Williams St, Clinton, NY 13323 | 2006-08-21 |
| 1386697464 | Kristin M Dempsey | Nurse Practitioner | 110 Utica Road, Clinton, NY 13323 | 2006-05-18 |
| 1700417201 | Cornwell Ave Physical Therapy PC | Clinic/Center | 7883 Seneca Turnpike, Clinton, NY 13323 | 2020-02-03 |
| 1225575004 | Sheena Matthews | Social Worker | 19 Robinson Rd, Clinton, NY 13323 | 2017-01-31 |
| 1861875551 | Stephanie Romanow | Physical Therapist | 19 Robinson Rd, Clinton, NY 13323 | 2015-06-30 |
| 1770705782 | Thomas Richard Carone | Chiropractor | 1 Kirkland Ave, Suite 101, Clinton, NY 13323 | 2007-05-02 |
| Find all providers in zip 13323 | ||||
| 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 |
|---|---|---|---|---|
| 1659985455 | Lisa C Frasca | Social Worker | 1802 State Route 31 Ste 233, Clinton, NJ 08809-2033 | 2020-08-31 |
| 1245855972 | Joshua D. Burgess Lcsw | Social Worker | 63 Norton Ave, Clinton, NY 13323-1321 | 2020-06-09 |
| 1588284210 | Kimberly Wheaton Middleton | Social Worker | 552 Springridge Rd Apt C5, Clinton, MS 39056-5631 | 2020-04-22 |
| 1073161204 | Guiding Light Counseling, LLC | Social Worker | 110 Cow Hill Rd, Clinton, CT 06413-1341 | 2019-08-30 |
| 1679130561 | Joseph Patrick Lamb | Social Worker | 2419 W 1850 N, Clinton, UT 84015-5709 | 2019-05-25 |
| 1538620828 | Rachel H Daniels | Social Worker | 1311 Reserve Dr, Clinton, MS 39056-5658 | 2019-03-28 |
| 1629535166 | Tarsha Harris Moore | Social Worker | 8102 Hunters Green Ct, Clinton, MD 20735-2989 | 2019-02-20 |
| 1174090120 | Shifting Your Gears, LLC | Social Worker | 1802 State Route 31, Clinton, NJ 08809-2033 | 2018-10-29 |
| 1285122432 | Jean M Baker | Social Worker | 3 Fountain St Ste 201, Clinton, NY 13323-1747 | 2018-04-24 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| Find all providers in CLINTON | ||||
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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.