MULBERRY CENTER, INC. (NPI# 1407919848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407919848 |
| Entity Type | Organization |
| Organization Name | MULBERRY CENTER, INC. |
| Practice Address |
414 Se 4th St Evansville IN 47713-1206 |
| Practice Telephone | 8124234700 |
| Practice Fax Number | 8124212618 |
| Mailing Telephone | 8124234700 |
| Mailing Fax Number | 8124212618 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-04-01 |
| Authorized Official Name | MR. MICHAEL CARROLL (ACTING EXEC DIRECTOR) |
| Authorized Official Telephone | 8124364231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200453230 | 05 | |
| IN | 200453230A | 05 |
| Street Address |
414 SE 4TH ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47713-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508023615 | Stephanie Titzer Hayden | Psychologist | 414 Se 4th St, Evansville, IN 47713-1206 | 2008-05-18 |
| 1548262785 | Romulus B Thomas | Specialist | 414 Se 4th St, Evansville, IN 47713-1206 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942627526 | Scacure Neworks, Inc | Voluntary or Charitable | 815 John Street, Suite 110, Evansville, IN 47713 | 2014-03-21 |
| 1356434948 | James Mcfarland Galbraith | Social Worker | 500 E. Walnut St, Evansville, IN 47713 | 2006-10-02 |
| 1578657912 | Norma J. Nickens | Social Worker | 500 E. Walnut St., Evansville, IN 47713 | 2006-10-02 |
| 1053402826 | Douglas Floyd Fackler | Physician Assistant | Evansville Va Outpatient Clinic, 500 E. Walnut, Evansville, IN 47713 | 2006-09-27 |
| 1205930583 | Elmer B Wannemuehler | Social Worker | 414 Se Fourth Street, Evansville, IN 47713 | 2006-09-08 |
| 1548287287 | Barbara Witte | Counselor | 709 S E 2nd St, Evansville, IN 47713 | 2006-07-17 |
| 1265431209 | Mary Beth Lodato | Advanced Practice Midwife | 316 Chandler Ave, Evansville, IN 47713 | 2005-07-20 |
| 1750380739 | Select Specialty Hospital - Evansville LLC | Long Term Care Hospital | 400 Se 4th Street, Evansville, IN 47713 | 2005-07-20 |
| 1265439012 | Elizabeth Ann Kalb | Psychologist | 315 Mulberry St, Evansville, IN 47713 | 2005-07-07 |
| 1306373782 | Stacey Bane | Pharmacist | 415 Mulberry Street, Evansville, IN 47713 | 2017-05-17 |
| Find all providers in zip 47713 | ||||
| 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 |
|---|---|---|---|---|
| 1942810486 | Adams Counseling Services LLC | Social Worker | 6221 Physicians Ct # 2, Evansville, IN 47715-4031 | 2020-08-07 |
| 1306328414 | Tracy Lynn Hollander | Social Worker | 529 Herndon Dr, Evansville, IN 47711-3703 | 2018-09-05 |
| 1992295489 | Leeanne Aline Mobley | Social Worker | 414 Se 4th St Ste 101, Evansville, IN 47713-1219 | 2018-05-10 |
| 1023517992 | Michelle Craig | Social Worker | 4415 Posey County Line Rd S, Evansville, IN 47712-9035 | 2018-02-06 |
| 1770096190 | Tiphani Fillingim | Social Worker | 1010 S Weinbach Ave, Evansville, IN 47714-2934 | 2017-11-07 |
| 1174075584 | Aha Now Counseling, LLC | Social Worker | 7144 E Virginia St Ste C, Evansville, IN 47715-9125 | 2016-11-02 |
| 1720536055 | Andrea M Lantz | Social Worker | 20000 Barton Rd, Evansville, IN 47725-7845 | 2016-09-15 |
| 1750739421 | Jordan Wayne Milby | Social Worker | 734 W Delaware St Ste 217, Evansville, IN 47710-1667 | 2016-06-02 |
| 1487021226 | Barbara Avis | Social Worker | 5015 N 1st Ave, Evansville, IN 47710-3913 | 2015-08-27 |
| 1437557626 | Syrrus Powell | Social Worker | 445 N Cross Pointe Blvd Ste 320, Evansville, IN 47715-4013 | 2014-12-20 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47713 |
Please comment or provide details below to improve the information on MULBERRY CENTER, INC..
| 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.