GAIL L EDGERTON (NPI# 1386084382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386084382 |
| Entity Type | Individual |
| Full Name | GAIL L EDGERTON |
| Credential | LCSW |
| Practice Address |
143 E Merritt St Prescott AZ 86301-2028 |
| Practice Telephone | 9284581623 |
| Practice Fax Number | 9284457071 |
| Mailing Telephone | 9284581623 |
| Mailing Fax Number | 9284457071 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2017-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
16033 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
143 E MERRITT ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952386708 | Daniel Fallon | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2005-12-14 |
| 1851783187 | Performance Fallon Inc | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2015-02-24 |
| 1841474814 | Wagner & Associates Pllc | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-12-26 |
| 1154501682 | Douglas A. Bergstrom, Ph.d., Pllc | Community/Behavioral Health | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-11-13 |
| 1063536688 | Douglas Alan Bergstrom | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-03-19 |
| 1245378595 | Rory B. Madden | Psychologist | 143 E Merritt St, Prescott, AZ 86301-2028 | 2007-02-01 |
| 1003838582 | Gail Ann Wagner | Counselor | 143 E Merritt St, Prescott, AZ 86301-2028 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| 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 |
|---|---|---|---|---|
| 1164064457 | Veroncia Rose Quezada | Social Worker | 1951 Estrella Rd, Prescott, AZ 86305-5276 | 2019-10-08 |
| 1932759966 | Terri-lynn Stowell | Social Worker | 1000 Ainsworth Dr Ste C-20, Prescott, AZ 86305-1667 | 2019-09-11 |
| 1659845600 | Indira S. Katan | Social Worker | 1905 Begonia Pl, Prescott, AZ 86303-5029 | 2019-01-13 |
| 1023545753 | Lincoln Sperry | Social Worker | 214 N Arizona Ave, Prescott, AZ 86301-3104 | 2017-05-12 |
| 1336670439 | Mary Ellen S Hays | Social Worker | 1560 Eagle Point Dr, Prescott, AZ 86301-5448 | 2017-03-21 |
| 1518407865 | Edward Bylotas | Social Worker | 3550 S Senator Hwy, Unit 14, Prescott, AZ 86303-8430 | 2017-03-06 |
| 1861738908 | Rosaleen Margaret Runnalls | Social Worker | 119 E Goodwin St, Prescott, AZ 86303-3940 | 2012-12-18 |
| 1457604845 | Susan Lynn Brenchley | Social Worker | 1116 W Skyview Dr, Prescott, AZ 86303-5121 | 2012-10-22 |
| 1902174618 | Rebecca Jean West | Social Worker | 500 Az-89, Bldg 155, Prescott, AZ 86313 | 2011-12-08 |
| 1326349440 | Don G Ostendorf | Social Worker | 604 La Corta Ln, Prescott, AZ 86301-1020 | 2010-11-05 |
| Find all providers in PRESCOTT | ||||
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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.