MR. KENNETH W. CULTON (NPI# 1467640599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467640599 |
| Entity Type | Individual |
| Full Name | MR. KENNETH W. CULTON |
| Credential | LCSW |
| Practice Address |
1220 S Park Ave Suite D Herrin IL 62948-4128 |
| Practice Telephone | 6189881757 |
| Practice Fax Number | 6189881700 |
| Mailing Telephone | 6189881757 |
| Mailing Fax Number | 6189881700 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
1220 S PARK AVE SUITE D |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-4128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053387258 | Robert C. Mitchell | Counselor | 1220 S Park Ave, Suite D, Herrin, IL 62948-4177 | 2006-02-27 |
| 1538598016 | Daniel Leslie Marsh | Counselor | 1220 S Park Ave, Herrin, IL 62948-4177 | 2013-11-05 |
| 1740476910 | Gaia Cosgrove Mcvey | Counselor | 1220 S Park Ave, Herrin, IL 62948-4128 | 2007-09-20 |
| 1417021197 | Robert Cole Mitchell | Social Worker | 1220 S Park Ave, Herrin, IL 62948-4128 | 2006-11-17 |
| 1851465595 | Debbie Gilbert Mitchell | Counselor | 1220 S Park Ave, D, Herrin, IL 62948-4128 | 2006-11-17 |
| 1952475659 | Carolyn Ruth Brandon | Counselor | 1220 S Park Ave, D, Herrin, IL 62948-4128 | 2006-11-17 |
| 1649344284 | Sheila R. Beltz | Social Worker | 1220 S Park Ave, Suite D, Herrin, IL 62948-4128 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| 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 |
|---|---|---|---|---|
| 1447262969 | Colleen D. Schloemann | Social Worker | 2001 W Herrin St, Herrin, IL 62948-6433 | 2006-08-13 |
| 1023054988 | Lisa Renee Melton | Social Worker | 412 S 14th St, Herrin, IL 62948-3802 | 2006-06-21 |
| 1508836362 | Lyn E. Flahardy | Social Worker | 109 Lou Ann Dr, Herrin, IL 62948-3733 | 2006-01-25 |
| 1639718612 | Tara Lynn Hartley | Social Worker | 3303 Logan Dr, Herrin, IL 62948-3732 | 2019-12-23 |
| 1093227613 | Lenora Ann Levin | Social Worker | 405 Rushing Dr, Herrin, IL 62948-3730 | 2017-11-05 |
| 1649708926 | Susan Kay Selock | Social Worker | 317 S 14th St Ste 1, Herrin, IL 62948-3673 | 2017-05-31 |
| 1427461581 | Cortney Dawn Meyer | Social Worker | 201 South 14th Street, Herrin, IL 62948-1462 | 2014-06-06 |
| 1649516691 | Melinda Squires | Social Worker | 109 Lou Ann Dr, Herrin, IL 62948-3733 | 2012-12-19 |
| 1336356245 | Robyn S Davis | Social Worker | 109 Lou Ann Dr, Herrin, IL 62948-3733 | 2007-05-17 |
| 1417021197 | Robert Cole Mitchell | Social Worker | 1220 S Park Ave, Herrin, IL 62948-4128 | 2006-11-17 |
| Find all providers in HERRIN | ||||
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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.