MS. KATHRYN ELLEN DAVIS (NPI# 1578740510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578740510 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN ELLEN DAVIS |
| Credential | LCSW |
| Practice Address |
3111 Williamson County Pkwy Marion IL 62959-5235 |
| Mailing Address |
909 S Russell St Marion IL 62959-1544 |
| Practice Telephone | 6189973647 |
| Practice Fax Number | 6189699437 |
| Mailing Telephone | 6186941178 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2009-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.013758 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE | 149.013758 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023537198 | Kathryn Davis | Speech-Language Pathologist | 34 Public Sq, 2, Elizabethtown, KY 42701-1436 | 2017-09-11 |
| 1033654553 | Kathryn Davis | Assistant Behavior Analyst | 807 Donnell Blvd, Suite Q, Daleville, AL 36322 | 2016-12-20 |
| 1033586771 | Kathryn Davis | Social Worker | 4361 Furman Hall Apt 203, Raleigh, NC 27612-4178 | 2015-08-28 |
| 1033417373 | Kathryn Lee Davis | Speech-Language Pathologist | 38 Narrows Rd, Assonet, MA 02702-1633 | 2011-03-10 |
| 1871791301 | Kathryn Lorann Davis | Surgery | 2001 Vail Ave Ste 320, Charlotte, NC 28207-1222 | 2007-07-05 |
| 1003014903 | Kathryn Rachel Davis | Pediatrics | 505 Parnassus Ave # 0110, University of California San Francisco, M691, San Francisco, CA 94143-2204 | 2007-07-03 |
| 1316071798 | Kathryn T Davis | Registered Nurse | 3950 E Butler Ave, Flagstaff, AZ 86004-7852 | 2007-03-15 |
| 1811936487 | Kathryn Howell Davis | Family Medicine | 2558 Capital Medical Blvd, Tallahassee, FL 32308-4424 | 2006-06-06 |
| 1588655732 | Kathryn May Davis | Psychologist | Nacc -- 162 First Street, Port Hueneme, CA 93043-0001 | 2005-11-04 |
| 1245867878 | Kathryn Davis | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave # Mlc5018, Cincinnati, OH 45229-3026 | 2020-03-24 |
| Street Address |
3111 WILLIAMSON COUNTY PKWY |
| City | MARION |
| State | IL |
| Zip Code | 62959-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770521148 | Aline Gilbert-johnson | Psychiatry & Neurology | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2006-06-04 |
| 1407483670 | Laboratory Corporation of America | Clinical Medical Laboratory | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2020-03-26 |
| 1609401405 | Kristin Mcdonald | Nurse Practitioner | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2020-03-12 |
| 1790333656 | Brittany Funk | Occupational Therapy Assistant | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2019-09-03 |
| 1306341458 | Ashley Bennett | Registered Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-03-29 |
| 1922503374 | Ashlie Hoopes | Registered Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-03-28 |
| 1740798537 | Katye Roper | Social Worker | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-01-16 |
| 1205372778 | Chesi Marion Centre Clinic | Clinic/Center | 3111 Williamson County Pkwy, Office A3, Marion, IL 62959-5235 | 2017-01-09 |
| 1497116628 | Centerstone of Illinois | Counselor | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2016-03-16 |
| 1346619442 | Janice Fisher | Licensed Practical Nurse | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2015-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1144842949 | Lindsay Marie Miles | Social Worker | 309 7th Ave, Marion, IA 52302-5774 | 2020-05-14 |
| 1639654858 | Crystal Liedtke | Social Worker | 3403 Heartland St, Marion, IL 62959-6393 | 2018-10-03 |
| 1053890749 | Wayne Assing | Social Worker | 481 Delano Rd, Marion, MA 02738-5104 | 2018-08-13 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1073051934 | Hope Counseling Associates | Social Worker | 117 Primo Cir, Marion, AR 72364-9034 | 2017-02-10 |
| 1861934705 | Allen R Stata | Social Worker | 104 Edwards Drive, Marion, AL 36756 | 2016-11-09 |
| 1760875819 | Deanne M Ackley | Social Worker | 126 N Garden St, Marion, NC 28752-3710 | 2015-03-13 |
| 1528479334 | New Horizons Counseling Center | Social Worker | 219 E Lee St, Marion, VA 24354-2731 | 2014-05-14 |
| 1225453129 | Glenn Mccleese | Social Worker | 4333 Firstenberger Rd, Marion, OH 43302-8941 | 2014-02-28 |
| 1285071712 | Risa Stutz | Social Worker | 1301 Enterprise Way Ste 44, Marion, IL 62959-4442 | 2013-05-23 |
| Find all providers in MARION | ||||
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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.