MR. NEIL B GRAGG, JR. (NPI# 1407897242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407897242 |
| Entity Type | Individual |
| Full Name | MR. NEIL B GRAGG, JR. |
| Practice Address |
519 Midland Ct Suite #102 Janesville WI 53546-2336 |
| Practice Telephone | 6087569090 |
| Practice Fax Number | 6087562920 |
| Mailing Telephone | 6087569090 |
| Mailing Fax Number | 6087562920 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
809-123 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39543800 | 05 |
| Street Address |
519 MIDLAND CT SUITE #102 |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154410595 | Bridgeway Psychological Associates Ltd. | Psychologist | 519 Midland Ct, Suite 102, Janesville, WI 53546-2348 | 2006-10-12 |
| 1386671485 | Julie A Jacobs | Psychologist | 519 Midland Ct, Suite #102, Janesville, WI 53546-2336 | 2006-06-26 |
| 1881630010 | Sally Mccoy | Psychologist | 519 Midland Ct, Suite #102, Janesville, WI 53546-2336 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| 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 |
|---|---|---|---|---|
| 1730743816 | Wisteria Lyn Gunnink | Social Worker | 3530 N County Highway F, Janesville, WI 53545 | 2019-04-24 |
| 1275043697 | Amy Albert | Social Worker | 1611 Center Ave, Janesville, WI 53546-2819 | 2017-10-11 |
| 1144415696 | Stacy L Farrington | Social Worker | 3530 N County Rd E # F, Janesville, WI 53548-9074 | 2007-09-07 |
| 1710195136 | Stephen P Daly | Social Worker | 2020 E Milwaukee, 9, Janesville, WI 53545 | 2007-05-18 |
| 1265579304 | Tracy A. Mayer | Social Worker | 3530 N. County Trunk Highway F, Janesville, WI 53547-1649 | 2007-01-30 |
| 1457373870 | Kathy Ann Fox | Social Worker | 2020 E Milwaukee St, Janesville, WI 53545-2600 | 2006-07-24 |
| 1871526269 | Leanne Furman | Social Worker | 1519 Primrose Ln, Janesville, WI 53545-0418 | 2006-07-08 |
| 1891346169 | Sarah K Birdsill | Social Worker | 23 N Main St, Janesville, WI 53545-3039 | 2019-09-26 |
| 1972077527 | Lotus Counseling, LLC | Social Worker | 23 N Main St, Janesville, WI 53545-3039 | 2019-01-16 |
| 1689026965 | Mikhaela K Creekmore | Social Worker | 17 S. River St, Suite 254, Janesville, WI 53548-3863 | 2016-07-11 |
| Find all providers in JANESVILLE | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.