MERISSA PRYOR


Address: 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711
Phone: 2172205392

MERISSA PRYOR (NPI# 1578057220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578057220
Entity Type Individual
Full Name MERISSA PRYOR
Practice Address 4200 Conestoga Drive, Mbn 120
Springfield
IL 62711
Practice Telephone 2172205392
Mailing Telephone 2172205392
Enumeration Date 2018-06-17
Last Update Date 2019-10-11
NPI Deactivation Date 07/31/2018
NPI Reactivation Date 2019-10-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
149.019250 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2113 E Sangamon Ave, Springfield, IL 627021303 2172205392

Office Location

Street Address 4200 CONESTOGA DRIVE, MBN 120
City SPRINGFIELD
State IL
Zip Code 62711

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255884623 Dental Professionals of Illinois, P.C. Dentist 2740 Prairie Crossing Drive, Springfield, IL 62711 2016-08-02
1841682424 Americare At Centennial Pointe Assisted Living LLC Assisted Living Facility 3440 Hedley Road, Springfield, IL 62711 2015-02-19
1306249248 Schon Dental, LLC Dentist 2809 Mansion Road Suite D, Springfield, IL 62711 2014-10-07
1891105490 John Weiss Pharmacist 4200 Conestoga Drive, Springfield, IL 62711 2014-05-05
1720350689 Victor Harold Lary Family Medicine 3251 Spaulding Orchard Road, Springfield, IL 62711 2012-02-07
1902181795 Amanda Rose Davis Pharmacist 2500 Koke Mill Rd, Springfield, IL 62711 2011-10-12
1316233703 Karen Zerkle Dentist 2809 Mansion Rd, Suite D, Springfield, IL 62711 2011-06-23
1255520557 Link Chiropractic LLC Chiropractor 7012 Kingsmill Ct, Springfield, IL 62711 2007-10-23
1669688230 Victoria Lynn Driskill Dentist 4701 W. Wabash Ave, Springfield, IL 62711 2007-05-14
1952523284 Dental Professionals of Illinois, P.C. Dentist 3820 Wabash Ave, Springfield, IL 62711 2007-05-03
Find all providers in zip 62711

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629676929 Katrina Louise Routh Social Worker 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 2020-10-09
1194337022 Loretta E. Buckwalter Social Worker 4401 Ridgewood Rd W, Springfield, OH 45503-6131 2020-08-21
1710596572 Nichol Speciale Social Worker 3700 Kerry Blvd, Springfield, IL 62712-5858 2020-07-28
1124636162 Sarah Ann Duffy Social Worker 6823 Floyd Ave, Springfield, VA 22150-2455 2020-07-15
1033736707 Bernetta A Andrewin Social Worker 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 2020-06-29
1013530856 Christina Margaret White Social Worker 224 Springcreek Dr, Springfield, IL 62702-3469 2020-05-27
1295357192 Luminary Counseling and Solutions, LLC Social Worker 319 E Madison St Ste 2c, Springfield, IL 62701-3120 2020-05-13
1861014326 Marvin Merriweather Jr. Social Worker 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 2020-05-07
1477182061 Sean Edward Snyder Social Worker 578 Sheffield Dr, Springfield, PA 19064-2822 2020-04-06
1801429246 David Aichroth Jr. Social Worker David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 2020-02-13
Find all providers in SPRINGFIELD

Competitor

Search similar providers

City SPRINGFIELD
Zip Code 62711

Improve Information

Please comment or provide details below to improve the information on MERISSA PRYOR.

Dataset Information

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.

Trending Searches