DORYIAN SMITH (NPI# 1417592023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417592023 |
| Entity Type | Individual |
| Full Name | DORYIAN SMITH |
| Credential | SWT |
| Practice Address |
30 Northwest Ave # A-120 Tallmadge OH 44278-1808 |
| Practice Telephone | 3306334187 |
| Mailing Telephone | 3306334187 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | S.1901158-TRNE | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CSWMFT BOARD | S.1901158-TRNE | 01 |
| Street Address |
30 NORTHWEST AVE # A-120 |
| City | TALLMADGE |
| State | OH |
| Zip Code | 44278-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972076560 | Helen Sue Hart | Social Worker | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-01-07 |
| 1003464223 | Kassandra Li Morgan | Case Manager/Care Coordinator | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-08-30 |
| 1427600873 | Brook Kendra | Case Manager/Care Coordinator | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-07-15 |
| 1982265724 | Robert Malvin Beadle | Social Worker | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-06-24 |
| 1205495637 | Aaron Michael Harvey | Case Manager/Care Coordinator | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-06-10 |
| 1912564543 | Cory J Bongivengo | Case Manager/Care Coordinator | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110351 | Sandra Schafer | Homemaker | 273 North Thomas Rd, Tallmadge, OH 44278 | 2020-09-29 |
| 1972071355 | Forever Home Health LLC | Nursing Care | 982 Atwood Dr, Tallmadge, OH 44278 | 2018-11-05 |
| 1235656554 | Corliss J. Mayle | Social Worker | 30 Northwest Ave., Tallmadge, OH 44278 | 2017-08-28 |
| 1477079739 | Wilfredo E Torres | Social Worker | 30 Northwest Avenue, Building A, Suite 120, Tallmadge, OH 44278 | 2017-08-18 |
| 1518377936 | Shasta O'neal | Licensed Practical Nurse | 72 N. Thomas Rd, Apt 10 B, Tallmadge, OH 44278 | 2014-05-07 |
| 1952593709 | Judith Marie Mitchell | Home Health Aide | 65 Community Road, Pioneer Physicians Netword, Tallmadge, OH 44278 | 2007-08-15 |
| 1336340504 | University Primary Care Practices Inc | Clinic/Center | 145 West Ave Ste 2, Tallmadge, OH 44278 | 2007-05-29 |
| 1609098631 | Kenneth L Penix II | Case Manager/Care Coordinator | 392 Northwest Ave, Tallmadge, OH 44278 | 2007-05-02 |
| 1215158308 | Humberto Gonzales Caballero | Driver | 919 Sunset View Blvd, Tallmadge, OH 44278 | 2007-05-02 |
| 1891863940 | Gerald Sisko | Dentist | 193 East Ave, Tallmadge, OH 44278 | 2006-11-30 |
| Find all providers in zip 44278 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730735150 | Monica Sincel | Case Manager/Care Coordinator | 508 Southeast Ave, Tallmadge, OH 44278-2838 | 2019-08-12 |
| 1124503388 | Jessica Ann Johns | Case Manager/Care Coordinator | 72 N Thomas Rd Apt 7a, Tallmadge, OH 44278-1719 | 2018-10-03 |
| 1609098631 | Kenneth L Penix II | Case Manager/Care Coordinator | 392 Northwest Ave, Tallmadge, OH 44278 | 2007-05-02 |
| 1164048435 | Sarah Christine Krizmanich | Case Manager/Care Coordinator | 30 Northwest Ave Ste 120, Tallmadge, OH 44278-1808 | 2020-06-22 |
| 1336798115 | Alixandria Yardley Gifford | Case Manager/Care Coordinator | 30 Northwest Ave, Tallmadge, OH 44278-1808 | 2019-09-05 |
| 1003464223 | Kassandra Li Morgan | Case Manager/Care Coordinator | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-08-30 |
| 1427600873 | Brook Kendra | Case Manager/Care Coordinator | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-07-15 |
| 1205495637 | Aaron Michael Harvey | Case Manager/Care Coordinator | 30 Northwest Ave # A-120, Tallmadge, OH 44278-1808 | 2019-06-10 |
| 1568021996 | Deanna L Davis | Case Manager/Care Coordinator | 30 Northwest Ave, Tallmadge, OH 44278-1808 | 2019-06-10 |
| 1538726708 | Michelle Stark-miller | Case Manager/Care Coordinator | 30 Northwest Ave, Tallmadge, OH 44278-1808 | 2019-05-23 |
| Find all providers in TALLMADGE | ||||
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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.