KRYSTIE COMER (NPI# 1396141032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396141032 |
| Entity Type | Individual |
| Full Name | KRYSTIE COMER |
| Other Name | KRYSTIE GERIG |
| Credential | MSW, LCSW |
| Practice Address |
415 E Madison St South Bend IN 46617-2322 |
| Mailing Address |
Po Box 809 Goshen IN 46527-0809 |
| Practice Telephone | 5745331234 |
| Practice Fax Number | 5745372652 |
| Mailing Telephone | 5745331234 |
| Mailing Fax Number | 5745372652 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34007810A | IN | Behavioral Health & Social Service Providers |
| Street Address |
415 E MADISON ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841287950 | Amanda Jane Duddleson | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2005-10-04 |
| 1144829961 | Allen O'carey | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-22 |
| 1922607779 | Tekona Henry | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-22 |
| 1093314452 | Darell Ezell II | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-18 |
| 1386243749 | Karen Bruening | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-10-18 |
| 1457966988 | Kelly Holst-haley | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-09-11 |
| 1942814694 | Bailey Ritsema | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-09-01 |
| 1053924662 | Seanell Williams | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-25 |
| 1285247890 | Dana A Taylor | Counselor | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-25 |
| 1245840040 | Mathew Peters | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1508330754 | Emily Wynn Sussman | Social Worker | 227 N Dixie Way Ste 125, South Bend, IN 46637-3385 | 2019-01-21 |
| 1326414707 | Patrice Ivory-butler | Social Worker | 1615 N Kenmore St, South Bend, IN 46628-4256 | 2015-08-19 |
| 1043622798 | Susan Gail Sandock | Social Worker | 919 E Jefferson Blvd Ste 401, South Bend, IN 46617-3117 | 2014-05-29 |
| 1902248032 | Melissa Ann Sluiter | Social Worker | 3901 Addison St, South Bend, IN 46614-2603 | 2013-07-17 |
| 1750642732 | Rosemary Cox | Social Worker | 534 N Michigan St, South Bend, IN 46601-1032 | 2012-06-06 |
| 1760753909 | Jody L. Hughes LLC | Social Worker | 202 S. Michigan St, Suite 875, South Bend, IN 46601-2021 | 2012-01-19 |
| 1538441571 | Heidi Wringer, Lcsw Moving Forward Counseling Services | Social Worker | 227 N Dixie Way Ste 130, South Bend, IN 46637-3300 | 2011-09-15 |
| 1861788879 | Lynne Walker | Social Worker | 315 W Jefferson Blvd, South Bend, IN 46601-1512 | 2011-06-28 |
| 1801192026 | Wetzel Therapy Inc | Social Worker | 17903 State Road 23, Suite #3, South Bend, IN 46635-1642 | 2011-02-05 |
| 1659695542 | Marianne V West | Social Worker | 219 N Dixie Way Ste 135, South Bend, IN 46637-3372 | 2010-03-21 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.