TINA EDGELL (NPI# 1609891548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609891548 |
| Entity Type | Individual |
| Full Name | TINA EDGELL |
| Credential | M.S.W. |
| Practice Address |
166 Thompson Dr Bridgeport WV 26330-1644 |
| Mailing Address |
166 Thompson Drive Bridgeport WV 26330 |
| Practice Telephone | 3048426001 |
| Practice Fax Number | 3048426111 |
| Mailing Telephone | 3048426001 |
| Mailing Fax Number | 3048426111 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | BP00941086 | WV | Behavioral Health & Social Service Providers |
| Street Address |
166 THOMPSON DR |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801830237 | Norma E Simbra | Dietitian, Registered | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-06-15 |
| 1932473055 | Kidney Dialysis & Transplant Group Incorporated | Dietitian, Registered | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2012-03-07 |
| 1538436753 | Gentle Dialysis Center LLC | Clinic/Center | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2011-11-17 |
| 1588747166 | Nabil Guirguis | Clinic/Center | 166 Thompson Dr, Suite B, Bridgeport, WV 26330-1644 | 2006-10-24 |
| 1306928734 | Marilyn K Aday | Internal Medicine | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-10-19 |
| 1295760668 | Diana Lynne Colassesano | Registered Nurse | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1043245442 | Eddie Allen | Technician, Other | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1992730329 | Marcy Long | Specialist/Technologist, Other | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1174558589 | Nabil Guirguis | Clinical Medical Laboratory | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-12 |
| 1578594594 | Geannine Britanak-gulas | Licensed Practical Nurse | 166 Thompson Dr, Bridgeport, WV 26330-1644 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1063031144 | Andrea Servan | Social Worker | 255 Dayton Rd, Bridgeport, CT 06606-3116 | 2020-04-09 |
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1841856739 | Kathleen Gray Chaney | Social Worker | 65 Professional Pl Ste And103, Bridgeport, WV 26330-0258 | 2019-05-15 |
| 1457916405 | Amber Rose Snyder | Social Worker | 65 Professional Pl, Bridgeport, WV 26330-0258 | 2019-05-06 |
| 1578020624 | Allegra Straus | Social Worker | 240 Wilson St, Bridgeport, CT 06605-2913 | 2019-02-25 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1366945701 | Crystal Aldophe | Social Worker | 2675 Park Ave Unit 6, Bridgeport, CT 06604-1357 | 2018-03-12 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1275983371 | Kizzy Kai Jeter-wilcox | Social Worker | 1492 North Ave, Apt 105, Bridgeport, CT 06604-2663 | 2016-06-20 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on TINA EDGELL.
| 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.