KALYN ZELLER (NPI# 1386022937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386022937 |
| Entity Type | Individual |
| Full Name | KALYN ZELLER |
| Credential | LCSW |
| Practice Address |
2020 Broadway St Suite C Mount Vernon IL 62864-2973 |
| Mailing Address |
2020 Broadway St # C Mount Vernon IL 62864-2973 |
| Practice Telephone | 3146270313 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2017-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2011028236 | MO | Behavioral Health & Social Service Providers |
| Street Address |
2020 BROADWAY ST SUITE C |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972657187 | Carrie Caroline Crocker | Social Worker | 2020 Broadway St, Suite D, Mount Vernon, IL 62864-2973 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845637 | Michelle Venegoni-vigil | Social Worker | 403c N 42nd St, Mount Vernon, IL 62864-2242 | 2020-06-10 |
| 1346861283 | Trudian Lyon | Social Worker | 6 Gramatan Ave Ste 409, Mount Vernon, NY 10550-3209 | 2020-05-01 |
| 1922647817 | Sabrina Myrie | Social Worker | 33 S High St Apt 3s, Mount Vernon, NY 10550-2447 | 2019-12-26 |
| 1902460702 | George Ako | Social Worker | 109 S 14th Ave, Mount Vernon, NY 10550-2811 | 2019-04-26 |
| 1528537099 | Carla Sue Donoho | Social Worker | 4243 Lincolnshire Dr, Mount Vernon, IL 62864-2157 | 2018-11-14 |
| 1255816443 | Kadyll Dawes | Social Worker | 48 Ellwood Ave, Mount Vernon, NY 10552-3404 | 2018-10-03 |
| 1215435821 | Ramona J Parker | Social Worker | 142 Brookside Ave, Mount Vernon, NY 10553-1304 | 2018-01-29 |
| 1285145581 | Krista Mckeethen | Social Worker | 309 N Sawmill St, Mount Vernon, IN 47620-2006 | 2017-10-13 |
| 1316472780 | Maria Angelica Walcott | Social Worker | 1005 S. 3rd Street, Mount Vernon, WA 98273 | 2017-04-24 |
| 1578945838 | Donna Maureen Pothemont | Social Worker | 141 E Lincoln Ave, Mount Vernon, NY 10552-3208 | 2015-06-23 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.