JENNIFER MCCORMICK (NPI# 1386028298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386028298 |
| Entity Type | Individual |
| Full Name | JENNIFER MCCORMICK |
| Credential | LCSW |
| Practice Address |
22 Harrison St Suite 101 Johnson City NY 13790-2142 |
| Practice Telephone | 6077638181 |
| Practice Fax Number | 6077638186 |
| Mailing Telephone | 6077638181 |
| Mailing Fax Number | 6077638016 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
083356 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700322377 | Jennifer Lynne Mccormick | Behavioral Analyst | 1163 Old Colony Rd Unit 6, Wallingford, CT 06492-1783 | 2017-01-06 |
| 1144467622 | Jennifer M Mccormick | Occupational Therapist | 24689 Kings Canyon Sq, Stone Ridge, VA 20105-2988 | 2009-01-20 |
| 1669423323 | Jennifer Jane Mccormick | Physician Assistant | 300 N Commercial St, Suite 200, Neenah, WI 54956-2619 | 2006-05-15 |
| 1497299887 | Jennifer Mccormick | Student in an Organized Health Care Education/Training Program | 1601 N Goldenrod Rd, Orlando, FL 32807-8308 | 2016-12-05 |
| 1801248901 | Jennifer Mccormick | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2016-07-13 |
| 1790139582 | Jennifer Mccormick | Speech-Language Pathologist | 3890 Woodridge Dr, The Villages, FL 32162-7186 | 2016-04-18 |
| 1710162672 | Jennifer A Mccormick | Marriage & Family Therapist | 15611 Pomerado Rd, Ste 535, Poway, CA 92064-2437 | 2008-01-09 |
| 1033235429 | Jennifer Mccormick | Occupational Therapist | 1361 Route 72 W, Manahawkin, NJ 08050-2417 | 2007-03-21 |
| 1821162819 | Jennifer Ruth Mccormick | Counselor | 1959 Ne Pacific St, Box 356125, Seattle, WA 98195-0001 | 2006-11-20 |
| 1548272685 | Jennifer Mccormick | Obstetrics & Gynecology | 165 E Plank Rd, Sycamore, IL 60178-8757 | 2006-08-13 |
| Street Address |
22 HARRISON ST SUITE 101 |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528047743 | Sun H Liauw | Radiology | 22 Harrison St, Johnson City, NY 13790-2142 | 2006-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| 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 |
|---|---|---|---|---|
| 1699256628 | Beth Evelyn Barber | Social Worker | 911 Millercrest Dr, Johnson City, TN 37604-4331 | 2018-08-27 |
| 1902258239 | Amber Street | Social Worker | 403 Princeton Rd Ste 2, Johnson City, TN 37601-2040 | 2016-07-11 |
| 1760833164 | Derek Shea Bowers | Social Worker | 207 N Boone St Ste 13, Johnson City, TN 37604-5659 | 2016-06-27 |
| 1952737785 | Carolyn Elaine Conerly | Social Worker | 1185 W Mountain View Rd, 2209, Johnson City, TN 37604-2523 | 2013-09-25 |
| 1265796072 | Peace of Mind Therapy Services | Social Worker | 207 Boone St, Suite 27, Johnson City, TN 37604-5603 | 2012-06-26 |
| 1326347311 | Jonathan Lynn Hartsell | Social Worker | 207 Boone Street, Suite 27, Johnson City, TN 37604 | 2011-03-16 |
| 1174838932 | Janie Allene Short | Social Worker | 306 W Holston Ave, Johnson City, TN 37604-5526 | 2010-08-17 |
| 1124254990 | Marylyn Beeson Bowman | Social Worker | 169 E Grand Ave, Apt 101, Johnson City, TN 37601-5609 | 2009-06-06 |
| 1336312685 | Lydia Pipes Roane | Social Worker | 703 Hiwassee Hill Dr, Johnson City, TN 37601-7603 | 2008-04-08 |
| 1295954543 | Sharon L Moss | Social Worker | 175 Wyok Rd, Johnson City, NY 13790-4223 | 2007-04-25 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
Please comment or provide details below to improve the information on JENNIFER MCCORMICK.
| 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.