MS. ANN K O'KLOCK (NPI# 1588657316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588657316 |
| Entity Type | Individual |
| Full Name | MS. ANN K O'KLOCK |
| Credential | LCSW |
| Practice Address |
1302 7th St Suite 201 Moline IL 61265-2900 |
| Practice Telephone | 3097623931 |
| Practice Fax Number | 3097624938 |
| Mailing Telephone | 3097623931 |
| Mailing Fax Number | 3097624938 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2011-04-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149002121 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS ILLINOIS NUMBE | 149002121 | 01 |
| IL | BLUE CROSS IOWA NUMBER | 99089 | 01 |
| IL | 0581744 | 05 | |
| IL | JOHN DEERE PROVIDER NUMBE | IL01E1 | 01 |
| Street Address |
1302 7TH ST SUITE 201 |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887875 | Jessica Marie Dietz | Chiropractor | 1302 7th St, #201, Moline, IL 61265-2900 | 2009-10-01 |
| 1104845189 | Donna Poesch M.d.s.c | Dermatology | 1302 7th St, Suite 202, Moline, IL 61265-2900 | 2006-07-19 |
| 1245211051 | Donna Lynne Poesch | Dermatology | 1302 7th St, Suite 202, Moline, IL 61265-2900 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1255744348 | The Project of The Quad Cities | Social Worker | 1701 River Dr Ste 110, Moline, IL 61265-1384 | 2014-06-05 |
| 1164771630 | Tammi A White | Social Worker | 4600 3rd Street, Moline, IL 61265-6892 | 2012-08-30 |
| 1093798589 | Rosemary Jordan | Social Worker | 2100 52nd Ave, Moline, IL 61265-6366 | 2005-11-29 |
| 1891331872 | Michael Anton Terry | Social Worker | 524 15th St, Moline, IL 61265-2151 | 2019-11-25 |
| 1922651926 | Megan Alexandra Page | Social Worker | 2326 16th St, Moline, IL 61265-4824 | 2019-07-18 |
| 1417317066 | Terry Stambaugh | Social Worker | 4600 3rd St, Moline, IL 61265-6106 | 2016-02-24 |
| 1679933204 | Shannon Reschke | Social Worker | 2326 16th St, Moline, IL 61265-4824 | 2016-02-24 |
| 1679956833 | Angela Mecagni Allen | Social Worker | 4600 3rd St, Moline, IL 61265-6106 | 2015-07-07 |
| 1598188500 | Kimberly Martin | Social Worker | 106 19th Ave, Suite 101, Moline, IL 61265-3700 | 2014-01-27 |
| 1659719417 | Justin Dwight Shoemaker | Social Worker | 2100 52nd Ave, Moline, IL 61265-6366 | 2013-06-13 |
| Find all providers in MOLINE | ||||
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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.