VICKY ANN BOETTCHER (NPI# 1376572263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376572263 |
Entity Type | Individual |
Full Name | VICKY ANN BOETTCHER |
Other Name | VICKY ANN ANTELL |
Credential | LCSW |
Practice Address |
701 Phillips Pl Huntsville AR 72740-6266 |
Mailing Address |
Po Box 6430 Springdale AR 72766-6430 |
Practice Telephone | 4797502020 |
Practice Fax Number | 4797381132 |
Mailing Telephone | 4797502020 |
Mailing Fax Number | 4797381132 |
Enumeration Date | 2006-07-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
1517-C | AR | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BLUE SHIELD PROVIDER # | 5S978 | 01 |
Street Address |
701 PHILLIPS PL |
City | HUNTSVILLE |
State | AR |
Zip Code | 72740-6266 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790723765 | Marianne Lombari-nelle | Counselor | 701 Phillips Pl, Huntsville, AR 72740-6266 | 2006-06-03 |
1134438955 | Madison County Imaging Center | Clinic/Center | 701 Phillips Pl, Suite 1, Huntsville, AR 72740-6266 | 2010-09-28 |
1154334423 | Danny Doyle Baker | Counselor | 701 Phillips Pl, Suite 1, Huntsville, AR 72740-6266 | 2006-08-15 |
1306858907 | Katrina Anne Mcleod | Genetic Counselor, MS | 701 Phillips Pl, Suite 1, Huntsville, AR 72740-6266 | 2006-08-12 |
1205872546 | Otto Rollwage Kirkpatrick Jr. | Social Worker | 701 Phillips Pl, Huntsville, AR 72740-6266 | 2006-06-22 |
1598700064 | Mary Louise Child | Genetic Counselor, MS | 701 Phillips Pl, Huntsville, AR 72740-6266 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356536387 | Melissa K Brannan | Marriage & Family Therapist | 405 W. Main Street, Huntsville, AR 72740 | 2007-09-12 |
1710187588 | St Johns Clinic Inc | Obstetrics & Gynecology | 705 Phillips, Huntsville, AR 72740 | 2007-07-20 |
1114040375 | Patricia Retterer Lemmer | Speech-Language Pathologist | 133 School Drive, Huntsville Middle School, Huntsville, AR 72740 | 2007-04-10 |
1871615518 | Huntsville School District | Local Education Agency (LEA) | 570 West Main, Huntsville, AR 72740 | 2007-04-04 |
1679618250 | Danny L. Ray | Pharmacist | 601 North Gaskill Street, Huntsville, AR 72740 | 2007-02-21 |
1427105667 | Thomas Louie Embry | Family Medicine | 705 Phillips Place, Huntsville, AR 72740 | 2007-01-03 |
1649339755 | Sheila Jeanette Chapman | Case Manager/Care Coordinator | 701 Phillips, Suite 1, Huntsville, AR 72740 | 2006-12-06 |
1811056864 | Melissa Brooke Lowrimore | Case Manager/Care Coordinator | 710 Huntsville, Suite 1, Huntsville, AR 72740 | 2006-12-06 |
1225197510 | Maria Luann Thompson-mcsperitt | Case Manager/Care Coordinator | 701 Phillips Suite 1, Huntsville, AR 72740 | 2006-12-06 |
1326129040 | Clyde Maxwell Norris | Chiropractor | 510 S Harris, Huntsville, AR 72740 | 2006-10-18 |
Find all providers in zip 72740 |
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] |
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1225637978 | Authentic Counseling Services, LLC | Social Worker | 3605 Governors Dr Sw Unit 7312, Huntsville, AL 35807-5062 | 2020-10-23 |
1366053795 | Jeronica D Frierson | Social Worker | 121 Rose Dr, Huntsville, AL 35811-9015 | 2020-08-10 |
1982249421 | Shirlene Allyson Briggs | Social Worker | 3202 Clifford Rd Nw, Huntsville, AL 35810-2912 | 2019-11-07 |
1629553482 | Journey To New Beginnings | Social Worker | 2901 Fairbanks Drive, Huntsville, AL 35816 | 2018-09-27 |
1396229431 | Serenity Solutions Behavioral Health LLC | Social Worker | 115 Longwood Dr Sw Ste D, Huntsville, AL 35801-4500 | 2018-09-24 |
1548748312 | Jane O. Orton, Licsw, LLC | Social Worker | 120 Holmes Ave Ne, Huntsville, AL 35801 | 2018-08-02 |
1831696608 | Jessica Zimmermann | Social Worker | 7800 Madison Blvd Ste 705, Huntsville, AL 35806-2049 | 2018-04-09 |
1083127021 | Juliet Latanya Wise | Social Worker | 2700 Fairbanks St Nw, Huntsville, AL 35816-2432 | 2017-11-13 |
1184151789 | Denise B. Mullaney | Social Worker | 333 Franklin St Se Ste 300, Huntsville, AL 35801-4264 | 2017-05-15 |
1427503382 | Adriane Michelle Howard | Social Worker | 2335 Pansy St Sw, Huntsville, AL 35801-3828 | 2016-08-22 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 72740 |
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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.