CONNEAUT VALLEY HEALTH CENTER INC. (NPI# 1396994885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396994885 |
| Entity Type | Organization |
| Organization Name | CONNEAUT VALLEY HEALTH CENTER INC. |
| Other Organization Name | CONNEAUT VALLEY MENTAL HEALTH |
| Practice Address |
747 Terrace St Meadville PA 16335-1737 |
| Mailing Address |
906 Washington St Po Box E Conneautville PA 16406-7138 |
| Practice Telephone | 8143732976 |
| Practice Fax Number | 8143337071 |
| Mailing Telephone | 8143732276 |
| Mailing Fax Number | 8145872918 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Authorized Official Name | MR. MICHAEL C DOWNING (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8143732449 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW015852 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007230030015 | 05 | |
| PA | HIGHMARK BC/BS | 191386 | 01 |
| PA | RR MEDICARE | CE7746 | 01 |
| Other Name | Type Code |
|---|---|
| CONNEAUT VALLEY MENTAL HEALTH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366588774 | Conneaut Valley Health Center Inc. | Clinic/Center | 747 Terrace St, Meadville, PA 16335-1737 | 2007-01-30 |
| 1427133248 | Conneaut Valley Health Center Inc. | Clinic/Center | 10926 Highway 18, Conneaut Lake, PA 16316-3526 | 2006-10-27 |
| 1134265549 | Conneaut Valley Health Center Inc. | Clinic/Center | 118 Railroad St, Cambridge Springs, PA 16403-1060 | 2007-01-30 |
| 1558380469 | Conneaut Valley Health Center Inc. | Family Medicine | 906 Washington St, Conneautville, PA 16406 | 2006-07-19 |
| Street Address |
747 TERRACE ST |
| City | MEADVILLE |
| State | PA |
| Zip Code | 16335-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366588774 | Conneaut Valley Health Center Inc. | Clinic/Center | 747 Terrace St, Meadville, PA 16335-1737 | 2007-01-30 |
| 1871004036 | Elizabeth Susan Mccurdy | Physician Assistant | 747 Terrace St, Meadville, PA 16335-1737 | 2017-10-16 |
| 1669839957 | Courtney Mcgovern | Nurse Practitioner | 747 Terrace St, Meadville, PA 16335-1737 | 2016-01-19 |
| 1528436045 | Lori Ann Harrison | Nurse Practitioner | 747 Terrace St, Meadville, PA 16335-1737 | 2015-09-15 |
| 1689042442 | Kimberley Ruth Smith | Nurse Practitioner | 747 Terrace St, Meadville, PA 16335-1737 | 2015-09-10 |
| 1760873707 | Meadville Medical Center | Podiatrist | 747 Terrace St, Podiatry, Meadville, PA 16335-1737 | 2015-02-12 |
| 1972994283 | Meadville Medical Center | Psychiatry & Neurology | 747 Terrace St, B.h., Meadville, PA 16335-1737 | 2015-02-09 |
| 1558609065 | James Lawrence Eppelbaum | Family Medicine | 747 Terrace St, Meadville, PA 16335-1737 | 2013-01-18 |
| 1609077213 | Family Planning of Crawford County | Public Health or Welfare | 747 Terrace St, Meadville, PA 16335-1737 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811533508 | Stacey Lynette Lantz | Physical Therapy Assistant | 11277 Vernon Place Road, Meadville, PA 16335 | 2019-11-18 |
| 1952874794 | Amy Lynn Weaver | Social Worker | Parkside Psychological Associates, 435 Chestnut Street, Meadville, PA 16335 | 2019-01-04 |
| 1013437789 | Raymond Walter Keller Jr. | Family Medicine | 735 Liberty St, Meadville, PA 16335 | 2017-06-23 |
| 1750735742 | Nicole Fies | Counselor | 201 Chestnut Street, Floor 2, Meadville, PA 16335 | 2016-04-16 |
| 1760894422 | Amie S Coffman | Psychiatry & Neurology | 765 Liberty St Ste 303, Meadville, PA 16335 | 2014-05-28 |
| 1649609710 | Gina Marie Michalak | Pharmacist | 379 North Street, Meadville, PA 16335 | 2013-11-08 |
| 1518396704 | Cassandra Lynn Ketler | Physician Assistant | 847 North Main Street, Meadville, PA 16335 | 2013-11-07 |
| 1194159913 | Judy Mcelwain | Speech-Language Pathologist | 31 N Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1649604463 | Jonelle Elizabeth Taylor | Occupational Therapist | 31 North Park Ave, Meadville, PA 16335 | 2013-08-28 |
| 1699046961 | James Richard Mclamb | Orthopaedic Surgery | 6060 Ehrgott Rd, Meadville, PA 16335 | 2012-01-19 |
| Find all providers in zip 16335 | ||||
| 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 |
|---|---|---|---|---|
| 1588082614 | Heather Duke | Social Worker | 13388 Dunham Rd, Meadville, PA 16335-8342 | 2014-04-05 |
| 1750711438 | Ashley B Harward | Social Worker | 18257 Industrial Dr Ste B, Meadville, PA 16335-8377 | 2013-11-18 |
| 1598003907 | Suzanne Darula | Social Worker | 16265 Conneaut Lake Rd, Meadville, PA 16335-3861 | 2013-01-18 |
| 1093028276 | Hannah Malka Cosdon | Social Worker | 448 North St, Meadville, PA 16335-2502 | 2010-07-16 |
| 1568684546 | Kimberly Majcher | Social Worker | 255 Chestnut Street, Meadville, PA 16335 | 2007-05-02 |
| 1205938008 | Marian R Bideaux | Social Worker | 996 S Main St Ste 102, Meadville, PA 16335-3204 | 2006-09-02 |
| 1104391226 | Integrative Therapies Meadville, LLC | Social Worker | 18257 Industrial Dr Ste B, Meadville, PA 16335-8377 | 2018-10-04 |
| 1053770438 | Hannah Cosdon Counseling, LLC | Social Worker | 448 North St, Meadville, PA 16335-2502 | 2016-02-15 |
| 1225495997 | Hope M. Thomas | Social Worker | 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 | 2016-01-26 |
| 1275950693 | Shannon Deets Counseling LLC | Social Worker | 898 Park Ave, Suite 16, Meadville, PA 16335-3335 | 2014-03-24 |
| Find all providers in MEADVILLE | ||||
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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.