DR. RICH VODDE (NPI# 1518375815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518375815 |
| Entity Type | Individual |
| Full Name | DR. RICH VODDE |
| Credential | PHD SOCIAL |
| Practice Address |
5990 Dykes Pond Rd Lake Park GA 31636-2716 |
| Practice Telephone | 2296309335 |
| Mailing Telephone | 2296309335 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW001601 | GA | Behavioral Health & Social Service Providers |
| Street Address |
5990 DYKES POND RD |
| City | LAKE PARK |
| State | GA |
| Zip Code | 31636-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891045191 | South Georgia Medical Center | General Acute Care Hospital | 2501 North Patterson St, Valdosta, GA 31636 | 2012-09-13 |
| 1407011711 | Migrant Farmworkers Clinic Inc | Clinic/Center | 224 J Frank Culpepper Road, Lake Park, GA 31636 | 2008-07-25 |
| 1649482795 | Institute for Family Systems Support | Social Worker | 308 West Collins Ave, Lake Park, GA 31636 | 2007-05-03 |
| 1639208333 | Kemberly Amanda Stone | Physician Assistant | 453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 | 2007-03-06 |
| 1215065768 | Dorothy B Price | Pharmacist | 1060 Lakes Boulevard, Winn Dixie #32, Lake Park, GA 31636 | 2007-02-28 |
| 1922163815 | South Health District | Public Health or Welfare | 751 Country Lane, Lake Park, GA 31636 | 2006-12-22 |
| 1235222415 | Wendy Ann Dorminey | Pharmacist | 1016 Lakes Blvd, Lake Park, GA 31636 | 2006-10-02 |
| 1528220308 | Michael Anthony Ferguson | Pharmacist | 1060 Lakes Blvd, Lake Park, GA 31636 | 2008-07-02 |
| 1285715433 | Manuel Tovar | Specialist | 224 Culpepper Rd., Lake Park, GA 31636-0889 | 2006-10-17 |
| 1831671767 | Deborah Ann Woodward | Contractor | 612 Eagle Crest Dr, Lake Park, GA 31636-2751 | 2018-09-06 |
| Find all providers in zip 31636 | ||||
| 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 |
|---|---|---|---|---|
| 1659914430 | Jacqueline Nesci | Social Worker | 2818 Hinda Rd, Lake Park, FL 33403-1448 | 2019-10-23 |
| 1134393515 | Jo Ann Lange Graham | Social Worker | 1408 N Killian Dr Ste 202, Lake Park, FL 33403-1961 | 2008-04-17 |
| 1992798128 | Aurora Counseling, Inc | Social Worker | 1408 N Killian Dr, Ste 201, Lake Park, FL 33403-1962 | 2005-08-23 |
| 1386935542 | Shannon T. Jones, Lcsw, Inc. | Social Worker | 1408 N Killian Dr, Lake Park, FL 33403-1962 | 2011-04-22 |
| 1598985426 | Marlys Freeman | Social Worker | 1408 N Killian Dr, #202, Lake Park, FL 33403-1962 | 2007-04-25 |
| 1316004856 | Shannon Marie Thompson | Social Worker | 1408 N Killian Drive, Ste 203, Lake Park, FL 33403 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487782 | Lora Christi Dukes | Social Worker | 612 Kenwood Dr, Waycross, GA 31501-6904 | 2020-11-05 |
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1326647629 | Sheba Phillips | Social Worker | 2402 Orlando Dr, Valdosta, GA 31602-1921 | 2020-10-19 |
| 1144829482 | Jennifer M Sublett | Social Worker | 1721 Sterling Cir, Cairo, GA 39828-4501 | 2020-10-19 |
| 1023617495 | Anita S White | Social Worker | 981 Cleveland Ave, Atlanta, GA 30344-6717 | 2020-10-18 |
| 1700484102 | Nicole Elisabeth Kohl | Social Worker | 70 Sunbury Ct, Richmond Hill, GA 31324-9621 | 2020-10-16 |
| 1629676333 | Christiana Oluwatoyin Sonuga | Social Worker | 699 Clairidge Elm Trl, Lawrenceville, GA 30046-7753 | 2020-10-14 |
| 1407454663 | Danielle Deane | Social Worker | 1655 Grayson Hwy Apt 6307, Grayson, GA 30017-1133 | 2020-10-10 |
| 1306443304 | Holly Stuckey | Social Worker | 5748 Pine Oak Dr, Norcross, GA 30092-3508 | 2020-10-04 |
| 1316544323 | Summer Al-majed | Social Worker | 180 Shore Dr, Suwanee, GA 30024-2940 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.