MISS ELLIE SUZANNE POULIS (NPI# 1427216225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427216225 |
| Entity Type | Individual |
| Full Name | MISS ELLIE SUZANNE POULIS |
| Credential | LCSW |
| Practice Address |
14377 Woodlake Dr Suite 308 Chesterfield MO 63017-5735 |
| Practice Telephone | 3145766493 |
| Practice Fax Number | 3145767319 |
| Mailing Telephone | 3145766493 |
| Mailing Fax Number | 3145767319 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2007036195 | MO | Behavioral Health & Social Service Providers |
| Street Address |
14377 WOODLAKE DR SUITE 308 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720243 | Stephen Charles Snitzer | Dentist | 14377 Woodlake Dr, Ste 214, Chesterfield, MO 63017-5735 | 2005-06-16 |
| 1255736278 | Charles Daniel Hurley | Dentist | 14377 Woodlake Dr, Ste 211, Chesterfield, MO 63017-5735 | 2014-11-03 |
| 1679987580 | Emily Hurley | Dentist | 14377 Woodlake Dr, Suite 211, Chesterfield, MO 63017-5735 | 2014-06-18 |
| 1760727648 | Maggie Azab Bottros | Dentist | 14377 Woodlake Dr, Suite 215, Chesterfield, MO 63017-5735 | 2012-12-04 |
| 1639433626 | David Guilbeault Dmd Woods Mill LLC | Dentist | 14377 Woodlake Dr, Ste 115, Chesterfield, MO 63017-5735 | 2012-06-25 |
| 1023382223 | Daniel Wray Charpentier | Dentist | 14377 Woodlake Dr, 210, Chesterfield, MO 63017-5735 | 2012-03-06 |
| 1295030997 | Kathleen Heather Ottolini | Chiropractor | 14377 Woodlake Dr, Suite 315, Chesterfield, MO 63017-5735 | 2011-01-11 |
| 1922316843 | First Health Chiropractic LLC | Chiropractor | 14377 Woodlake Dr, Ste. 315, Chesterfield, MO 63017-5735 | 2010-09-14 |
| 1790001790 | Peg Elizabeth Niemann | Counselor | 14377 Woodlake Dr, Suite 118, Chesterfield, MO 63017-5735 | 2010-04-15 |
| 1811213010 | Chiropractic Physicians Group | Chiropractor | 14377 Woodlake Dr, Suite 110, Chesterfield, MO 63017-5735 | 2010-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| 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 |
|---|---|---|---|---|
| 1669010682 | Brittany Brown | Social Worker | 10536 Genlou Rd, Chesterfield, VA 23832-7270 | 2019-12-20 |
| 1649838525 | The Destin Group LLC | Social Worker | 8819 Peeble Beach Court, Chesterfield, VA 23832-2667 | 2019-06-05 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1962915124 | Sonya Karlena Boone | Social Worker | 5920 Regal Crest Ter, Chesterfield, VA 23832-7939 | 2017-11-09 |
| 1295246031 | Mary-devon Leigh Bement | Social Worker | Grace Counseling, 23 Mile Rd., Chesterfield, MI 48047 | 2017-10-19 |
| 1740704402 | Ruth Marie Cutler | Social Worker | 10100 Iron Bridge Rd Ste 200, Chesterfield, VA 23832-6507 | 2017-08-02 |
| 1992183453 | Jenny L. Warne | Social Worker | 9846 Lori Rd, Suite 201, Chesterfield, VA 23832-6695 | 2015-05-15 |
| 1588071286 | Timothy Mcintyre | Social Worker | 45 High Valley Dr, Chesterfield, MO 63017-2763 | 2014-07-15 |
| 1891101978 | Laquina Fulton Garvin | Social Worker | 8418 Shepherds Watch Dr, Chesterfield, VA 23832-7871 | 2014-07-09 |
| 1770995334 | Kathryn Corson I | Social Worker | 15531 Hampton Crest Ter, Chesterfield, VA 23832-2917 | 2014-05-29 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on MISS ELLIE SUZANNE POULIS.
| 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.