COMMUNITY SUPPORT NETWORK (NPI# 1619276839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619276839 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUPPORT NETWORK |
| Practice Address |
2749 1st Ave N St Petersburg FL 33713-8723 |
| Practice Telephone | 7273217788 |
| Practice Fax Number | 7273277187 |
| Mailing Telephone | 7273217788 |
| Mailing Fax Number | 7273277187 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |
| Authorized Official Name | MS. DIANE WHITE (PRESIDENT) |
| Authorized Official Telephone | 7273217788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | FL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 671069796 | 05 | |
| FL | 671069798 | 05 | |
| FL | 671069768 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396954087 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 21 Faye Ct, Petaluma, CA 94952-2202 | 2007-05-21 |
| 1386869246 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 201 S E St, Santa Rosa, CA 95404-4709 | 2007-04-16 |
| 1427272004 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 112 Brown St, Santa Rosa, CA 95404-5007 | 2007-04-13 |
| 1922121581 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 420 E Cotati Ave, Cotati, CA 94931-4442 | 2007-04-09 |
| 1992828966 | Community Support Network | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1550 N. Dutton Ave, Santa Rosa, CA 95401 | 2007-04-06 |
| 1962861369 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2016-02-15 |
| 1255656609 | Community Support Network | Community/Behavioral Health | 3595 Sullivant Ave, Columbus, OH 43228-2121 | 2010-03-29 |
| 1336349398 | Community Support Network | Community Based Residential Treatment Facility, Mental Illness | 634 Pressley St, Santa Rosa, CA 95404-5526 | 2007-07-18 |
| 1225259179 | Community Support Network | Case Management | 634 Pressley St, Santa Rosa, CA 95403 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY SUPPORT NETWORK | 8221 Sw Mariners Dr, Wilsonville, OR 97070 |
| Street Address |
2749 1ST AVE N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851533822 | Mary Susan Mcclelland | Case Management | 7882 Sundown Dr N, St Petersburg, FL 33709-1254 | 2009-04-06 |
| 1336319128 | Metropolitan Charities Inc | Case Management | 3170 3rd Avenue North, St Petersburg, FL 33713 | 2008-03-07 |
| 1952517518 | Catholic Charities | Case Management | 1213 16th St N, St Petersburg, FL 33705-1032 | 2007-05-14 |
| 1093358244 | Silverrock Health | Case Management | 6006 49th St N, St Petersburg, FL 33709-2148 | 2019-10-21 |
| 1972919611 | Teresa Gerard | Case Management | 205 Dr Martin Luther King Jr St N, St Petersburg, FL 33701-3109 | 2014-07-02 |
| 1285078758 | Carlton Manor, Inc. | Case Management | 45 Westwood Ter N, St Petersburg, FL 33710-8325 | 2013-04-26 |
| 1689934697 | Suncoast Center Inc | Case Management | 1001 16th St S, St Petersburg, FL 33705-2231 | 2012-05-23 |
| 1083870802 | Neighborly Care Network | Case Management | 12425 28th St N, Suite 200, St Petersburg, FL 33716-1844 | 2008-07-31 |
| 1134384563 | Neighborly Care Network | Case Management | 12425 28th St N, Suite 200, St Petersburg, FL 33716-1844 | 2008-07-24 |
| 1427213859 | Neighborly Care Network | Case Management | 12425 28th St N, Suite 200, St Petersburg, FL 33716-1844 | 2008-07-24 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on COMMUNITY SUPPORT NETWORK.
| 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.