LISA L JUDD (NPI# 1417958448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417958448 |
| Entity Type | Individual |
| Full Name | LISA L JUDD |
| Credential | MSW LISW-CP ACSW |
| Practice Address |
504 Parkview Dr Spartanburg SC 29302-4019 |
| Practice Telephone | 8645040708 |
| Mailing Telephone | 8645040708 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2016-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6639 | SC | Behavioral Health & Social Service Providers |
| Street Address |
504 PARKVIEW DR |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740630045 | Psychotherapy and Consultation | Community/Behavioral Health | 504 Parkview Dr, Spartanburg, SC 29302-4019 | 2016-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861840217 | Brenda Gravermoen | Social Worker | 203 Briarwood Rd, Spartanburg, SC 29301-2934 | 2016-05-26 |
| 1275991390 | Amber Louise Pennington | Social Worker | 1425 John B White Blvd, Spartanburg, SC 29306-3919 | 2016-02-03 |
| 1124426382 | Shellie Smith | Social Worker | 101 Washington Place, Spartanburg, SC 29301 | 2014-12-19 |
| 1952455222 | Jane T Clemmer | Social Worker | 325 S Church St, Spartanburg, SC 29306-5231 | 2007-01-23 |
| 1275608135 | Anna S Rickell | Social Worker | 210 N Radcliff Way, Spartanburg, SC 29301-5389 | 2006-11-22 |
| 1295332237 | Kristen Marie Farrenkopf | Social Worker | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2020-10-02 |
| 1487266706 | Sarah Ann Dame | Social Worker | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2020-08-18 |
| 1659983963 | Markeisha Antoinette Nesbitt | Social Worker | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2020-08-18 |
| 1528690815 | Monique Bullock | Social Worker | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2020-02-05 |
| 1538721618 | Sherry Annette Mcadams | Social Worker | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-06-28 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
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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.