INNER WELLNESS THERAPY LLC (NPI# 1568851459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568851459 |
| Entity Type | Organization |
| Organization Name | INNER WELLNESS THERAPY LLC |
| Practice Address |
100 39th St Ste 203 Astoria OR 97103-2455 |
| Practice Telephone | 5034688646 |
| Practice Fax Number | 5033252813 |
| Mailing Telephone | 5034688646 |
| Mailing Fax Number | 5033252813 |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | LAUREN ELIZABETH MENGEDOHT (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 5034688646 |
| Authorized Official Credential | MSW LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L6223 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877974 | Inner Wellness Therapy LLC | Clinic/Center | 180 Tices Ln Ste 104, East Brunswick, NJ 08816-1345 | 2020-03-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INNER WELLNESS THERAPY LLC | 1350 Exchange St, Astoria, OR 97103 |
| Street Address |
100 39TH ST STE 203 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538120811 | April Smith | Counselor | 100 39th St Ste 203, Astoria, OR 97103-2455 | 2006-03-28 |
| 1104132349 | Lauren Elizabeth Mengedoht | Social Worker | 100 39th St Ste 203, Astoria, OR 97103-2455 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| 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 |
|---|---|---|---|---|
| 1407454093 | Angela Schedler | Social Worker | 3264 41st St Apt 1e, Astoria, NY 11103-3547 | 2020-10-15 |
| 1538786785 | Rachel Schimmel | Social Worker | 2515 18th St Apt 2, Astoria, NY 11102-3553 | 2020-07-02 |
| 1992324339 | Andrew Titus | Social Worker | 421 Astoria Blvd, Astoria, NY 11102-4314 | 2020-04-15 |
| 1407325038 | Courtney Rodgers | Social Worker | 4104 Astoria Blvd Apt 3f, Astoria, NY 11103-3253 | 2018-11-13 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1487164265 | Ceraselia Hotar, Lcsw PC | Social Worker | 3708 28th Ave Ste 202, Astoria, NY 11103-4248 | 2017-10-05 |
| 1881119139 | Maria Meyer | Social Worker | 3009 35th St, Astoria, NY 11103-4701 | 2017-08-08 |
| 1528504180 | Avinashi Shivon Ramadhin | Social Worker | 2227 26th St, Astoria, NY 11105-3151 | 2017-01-06 |
| 1407391790 | Matthew Frey | Social Worker | 2203 Steinway St, Apt 2l, Astoria, NY 11105-1863 | 2016-12-22 |
| 1417491242 | L.j Klein Lcsw PC | Social Worker | 3051 36th St Fl 1, Astoria, NY 11103-4704 | 2016-12-13 |
| Find all providers in ASTORIA | ||||
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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.