SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES (NPI# 1396066965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396066965 |
| Entity Type | Organization |
| Organization Name | SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES |
| Practice Address |
408 S Green St Morganton NC 28655-3529 |
| Mailing Address |
Po Box 3387 Morganton NC 28680-3387 |
| Practice Telephone | 8284309949 |
| Mailing Telephone | 8283912803 |
| Mailing Fax Number | 8285848910 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | MR. WILLIAM CHRIS JERNIGAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8285841105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 406 S Green St, Morganton, NC 286553529 | 8285841105 | |
| 408 S Green St, Morganton, NC 286553529 | 8284309949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533015 | Southmountain Children and Family Services | Social Worker | 810 Arendell St, Morehead City, NC 28557-4235 | 2020-09-17 |
| 1528691987 | Southmountain Children and Family Services | Counselor | 35 W Probart St # B2, Brevard, NC 28712-4840 | 2020-02-13 |
| 1427689173 | Southmountain Children and Family Services | Social Worker | 506 Pollock St, New Bern, NC 28562-5612 | 2020-01-31 |
| 1669805115 | Southmountain Children and Family Services | Counselor | 49 Rock Wall Ln, Burnsville, NC 28714-8567 | 2013-08-19 |
| 1033462148 | Southmountain Children and Family Services | Specialist | 8076 Hwy 105 South, Boone, NC 28607 | 2012-10-26 |
| 1033481650 | Southmountain Children and Family Services | Counselor | 110 W Union St, Morganton, NC 28655 | 2012-01-27 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1447437785 | Southmountain Children and Family Services | Specialist | 408 S Green St, Morganton, NC 28655-3529 | 2008-01-29 |
| 1730716895 | Southmountain Children and Family Services | Nurse Practitioner | 503 S Green St, Morganton, NC 28655-3530 | 2020-03-26 |
| 1588297592 | Southmountain Children and Family Services | Counselor | 408 S Green St, Morganton, NC 28655-3529 | 2020-02-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHMOUNTAIN CHILDREN AND FAMILY SERVICES | 7330 Myrtle Dr, Nebo, NC 28761-8666 |
| Street Address |
408 S GREEN ST |
| City | MORGANTON |
| State | NC |
| Zip Code | 28655-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447437785 | Southmountain Children and Family Services | Specialist | 408 S Green St, Morganton, NC 28655-3529 | 2008-01-29 |
| 1407473200 | Brittany S Little | Social Worker | 408 S Green St, Morganton, NC 28655-3529 | 2020-06-29 |
| 1588297592 | Southmountain Children and Family Services | Counselor | 408 S Green St, Morganton, NC 28655-3529 | 2020-02-18 |
| 1992101703 | Elizabeth Browning | Nurse Practitioner | 408 S Green St, Morganton, NC 28655-3529 | 2014-11-06 |
| 1477895019 | Brenda Kaye Patton | Social Worker | 408 S Green St, Morganton, NC 28655-3529 | 2013-03-21 |
| 1336400563 | Lynnae Mathia Hensley | Social Worker | 408 S Green St, Morganton, NC 28655-3529 | 2012-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811128 | Foothills Family Dermatology | Dermatology | 118 North Sterling St, Morganton, NC 28655 | 2020-11-04 |
| 1225678071 | Melissa Marie Sisco | Psychologist | Broughton State Hospital, 1000 S. Sterling Street, Morganton, NC 28655 | 2020-01-09 |
| 1043864598 | Stout Scripts, Inc. | Pharmacy | 200 West Fleming Dr, Morganton, NC 28655 | 2019-08-01 |
| 1538626015 | Morganton Opco Holdings, LLC | Assisted Living Facility | 330 Juniper St, Morganton, NC 28655 | 2019-02-21 |
| 1982174843 | Katie Breeze Heald Dds PC | Dentist | 679 W. Fleming Dr., Morganton, NC 28655 | 2018-12-04 |
| 1104317353 | Dr Liner Ward & Shobe Dds Pa | Dentist | 503 S. Green Street, Morganton, NC 28655 | 2018-05-23 |
| 1578069779 | Catawba Valley Medical Servies | Speech-Language Pathologist | 409b S Sterling St, Morganton, NC 28655 | 2018-04-05 |
| 1336685601 | Clear Perspective, LLC | Counselor | 140 Beach Street, Morganton, NC 28655 | 2017-01-11 |
| 1245604800 | Burke Integrated Health | Family Medicine | 350 East Parker Road, Morganton, NC 28655 | 2015-11-19 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| Find all providers in zip 28655 | ||||
| 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 |
|---|---|---|---|---|
| 1871127753 | Jeanine Rochelle Wilkerson | Social Worker | 304c W Union St, Morganton, NC 28655-3729 | 2020-02-28 |
| 1346747540 | Theresa Rose Hypse | Social Worker | 2095 Goodman Lake Rd, Morganton, NC 28655-7074 | 2018-04-12 |
| 1730530544 | Jacqueline Van Arnold | Social Worker | 53 Hennessee St, Morganton, NC 28655-3696 | 2016-06-23 |
| 1700196490 | Sabrina R. Southern | Social Worker | 101 Coal Chute Rd, Morganton, NC 28655-3953 | 2010-10-14 |
| 1083938526 | Focus Behavioral Health Services LLC | Social Worker | 110 S Sterling St, Morganton, NC 28655-3483 | 2010-03-25 |
| 1740410828 | Donna Lawing Mcclellan | Social Worker | 2496 Brook Hollow St, Morganton, NC 28655-8985 | 2009-07-22 |
| 1770754384 | Charlotte Jane Bridges | Social Worker | 315 Golf Course Rd, Apt 1306, Morganton, NC 28655-5206 | 2008-03-23 |
| 1073646741 | Tanjalesa Bridges | Social Worker | 1601 S Sterling St, Morganton, NC 28655-4097 | 2007-03-13 |
| 1679593362 | Rhonda Carol Mitchell | Social Worker | 205 East Union St, Morganton, NC 28655 | 2006-07-19 |
| 1780620625 | Susan Covil | Social Worker | 215 Avery Ave, Morganton, NC 28655-3102 | 2006-06-21 |
| Find all providers in MORGANTON | ||||
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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.