RENA AMI TISDALE-DAVIS (NPI# 1497211833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497211833 |
| Entity Type | Individual |
| Full Name | RENA AMI TISDALE-DAVIS |
| Credential | LICSW |
| Practice Address |
14909 Health Center Dr Apt 426 Bowie MD 20716-1093 |
| Practice Telephone | 4432268407 |
| Mailing Telephone | 4432268407 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC50081649 | DC | Behavioral Health & Social Service Providers |
| Street Address |
14909 HEALTH CENTER DR APT 426 |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| 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 |
|---|---|---|---|---|
| 1154936185 | Sacred Path Wellness | Social Worker | 2905 Mitchellville Rd Ste 112, Bowie, MD 20716-1321 | 2020-09-15 |
| 1013525732 | Alyssa Robin Krieger | Social Worker | 12021 Quarum Pl, Bowie, MD 20720-4382 | 2020-07-20 |
| 1629607015 | Ellis Wellington Mccomb | Social Worker | 4503 Holmehurst Way, Bowie, MD 20720-3455 | 2020-04-07 |
| 1104475581 | Sharon Ridley | Social Worker | 6915 Laurel Bowie Rd Ste 205c, Bowie, MD 20715-1715 | 2019-09-08 |
| 1134697410 | Yuvelqui Rattigan | Social Worker | 2803 Westbrook Ln, Bowie, MD 20721-1215 | 2018-11-05 |
| 1215417464 | Cloraine Benoit | Social Worker | 8219 Chestnut Ave, Bowie, MD 20715-4523 | 2018-08-17 |
| 1811496474 | Families Achieving More, LLC | Social Worker | 14201 Old Stage Rd, Bowie, MD 20720-4880 | 2018-02-08 |
| 1568903615 | Shawntese Elicia Charles | Social Worker | 2904 Nemeth Ln, Bowie, MD 20716-1213 | 2017-03-08 |
| 1982143087 | Louise Willis Amissah | Social Worker | 12301 Quiet Owl Ln, Bowie, MD 20720-4307 | 2017-02-22 |
| 1720530165 | Guileine Kraft | Social Worker | 15705 Peach Walker Dr, Bowie, MD 20716-1649 | 2016-11-02 |
| Find all providers in BOWIE | ||||
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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.