KELSI LYNN DOBSON


Address: 1600 W Walnut St, Jacksonville, IL 62650-1136
Phone: 2172459541

KELSI LYNN DOBSON (NPI# 1366912040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366912040
Entity Type Individual
Full Name KELSI LYNN DOBSON
Credential LCSW
Practice Address 1600 W Walnut St
Jacksonville
IL 62650-1136
Practice Telephone 2172459541
Mailing Telephone 2172459541
Enumeration Date 2018-11-26
Last Update Date 2018-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149020183 IL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL IL DEPT. OF FINANCIAL & PROFESSIONAL REGULATIONS 149020183 01

Office Location

Street Address 1600 W WALNUT ST
City JACKSONVILLE
State IL
Zip Code 62650-1136

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609873249 Charles Milton Sheaff Surgery 1600 W Walnut St, East Wing 2nd Floor, Jacksonville, IL 62650-1136 2005-06-28
1528690799 Holly Diane Pennell Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2020-02-06
1669004081 Elizabeth Ann Johnson Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2020-02-05
1164053526 Kayla Christine Vickers Physical Therapist 1600 W Walnut St, Jacksonville, IL 62650-1136 2020-02-03
1114402518 Michelle Lee Geiss Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2018-10-02
1134606858 Matthew Pulley Nurse Practitioner 1600 W Walnut St, Jacksonville, IL 62650-1136 2018-07-25
1760994040 Passavant Memorial Area Hospital Association Family Medicine 1600 W Walnut St, Jacksonville, IL 62650-1136 2017-10-26
1871002238 Courtney Howell Social Worker 1600 W Walnut St, Jacksonville, IL 62650-1136 2017-09-28
1831639194 Carrie Elizabeth Janus Nurse Practitioner 1600 W Walnut St, The Center for Psychiatric Health, Jacksonville, IL 62650-1136 2017-03-06
1154867539 Sravanthi Pallapothu Physical Therapist 1600 W Walnut St, Jacksonville, IL 62650-1136 2017-01-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134768708 Stephanie Lee Mabus Occupational Therapy Assistant 873 Gorve St, Jacksonville, IL 62650 2019-12-31
1285281071 Sharshon Pharmacy Inc Pharmacy 154 W Morton Ave, Jacksonville, IL 62650 2019-08-26
1992275499 Brittany Ruth Helmich Counselor 340 W. State St., Jacksonville, IL 62650 2018-11-28
1811391782 Rodney E. Overstreet Hearing Instrument Specialist 1521 W. Walnut, Jacksonville, IL 62650 2014-10-21
1407979818 Jan Ala Speech-Language Pathologist 1111 W Morton, Speechworks, Jacksonville, IL 62650 2007-04-09
1083787592 Eldon G Barrowes Dds & Assoc PC Dentist 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 2006-11-15
1194895979 Joseph J Kozma Internal Medicine 1440 West Walnut, Jacksonville, IL 62650 2006-11-08
1740350529 Susan Weller Dentist 1614 West Lafayette Avenue, Jackson, IL 62650 2006-11-08
1659467793 Shawn M Fry Family Medicine 610 N. Westgate, Jacksonville, IL 62650 2006-10-05
1518050061 Ward Richard Dunseth II Nurse Anesthetist, Certified Registered 1400 W Walnut, Jacksonville, IL 62650 2006-10-02
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748193 Sophia Venditti Social Worker 2598 Post St # 1, Jacksonville, FL 32204-4256 2020-10-22
1629676093 My Journey, LLC Social Worker 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 2020-10-16
1104423524 Sonya Young Social Worker 920 Bridier St, Jacksonville, FL 32206-5904 2020-10-08
1043823115 Sierra Lashonda Murray Social Worker 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 2020-08-28
1235741901 Deidra Lewis Social Worker 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 2020-08-23
1497365456 Darlene Denise Rolle- Cargill Social Worker 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 2020-08-05
1689282626 Andrea Kristin Perkinson Social Worker 128 Plow Point Ln, Jacksonville, NC 28546-9591 2020-07-15
1255956371 Noel Roman Social Worker 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 2020-06-15
1285257535 Phaith Coaching & Counseling, LLC Social Worker 4940 Emerson St, Jacksonville, FL 32207-4963 2020-05-21
1407478613 Mara's Lighthouse Counseling Center, LLC Social Worker 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 2020-05-11
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Competitor

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City JACKSONVILLE
Zip Code 62650

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Dataset Information

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.

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