MRS. JENNY S RYERSON (NPI# 1629460217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629460217 |
| Entity Type | Individual |
| Full Name | MRS. JENNY S RYERSON |
| Credential | MSW, LCSW |
| Practice Address |
919 N Main St Ste B Mooresville NC 28115 |
| Mailing Address |
919 N Main St Ste B Mooresville NC 28115-2355 |
| Practice Telephone | 7046606854 |
| Mailing Telephone | 7046606854 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C011109 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8401 University Exec Park Dr Ste 106, Charlotte, NC 282621360 | 7047161146 |
| Street Address |
919 N MAIN ST STE B |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343624 | Diamond Christal Lewis | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115-2355 | 2020-07-10 |
| 1437628831 | Alexander Caras | Counselor | 919 N Main St Ste B, Mooresville, NC 28115-2355 | 2018-11-15 |
| 1639671308 | Cindy Hegenbart | Counselor | 919 N Main St Ste B, Mooresville, NC 28115 | 2018-03-08 |
| 1831607662 | Ada Savage | Counselor | 919 N Main St Ste B, Mooresville, NC 28115-2355 | 2018-01-15 |
| 1528577855 | Nicole Marie Piccini | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115-2355 | 2017-09-29 |
| 1154840486 | Daveisha Mercedes Tanck | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115-2355 | 2017-09-19 |
| 1538699574 | Caroline Nicole Unruh | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115-2355 | 2017-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| 1336490606 | Kerlande Ambroise-jean | Registered Nurse | 116 Wayman Rd, Mooresville, NC 28115 | 2012-09-27 |
| Find all providers in zip 28115 | ||||
| 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 |
|---|---|---|---|---|
| 1881201630 | Flourish Counseling and Consulting | Social Worker | 122 Backstretch Ln, Mooresville, NC 28117-8071 | 2020-09-25 |
| 1881208437 | Jennifer Claire Tackitt | Social Worker | 561 Indianapolis Rd, Mooresville, IN 46158-1271 | 2020-09-01 |
| 1235741265 | Raheem Forsythe | Social Worker | 276 E Catawba Ave, Mooresville, NC 28115-2657 | 2020-08-20 |
| 1295347698 | Brittni Throgmorton | Social Worker | 378 Williamson Rd Ste 207, Mooresville, NC 28117-5917 | 2020-08-18 |
| 1386267581 | Linda Ann Costa-daniello | Social Worker | 120 Riding Trail, Mooresville, NC 28117-9165 | 2020-05-21 |
| 1629698782 | Lynn B Puma | Social Worker | 158 Clover Bank Rd, Mooresville, NC 28115-7872 | 2020-04-19 |
| 1316509102 | Shirley Marie Curry | Social Worker | 174 Devon Forest Dr, Mooresville, NC 28115-7913 | 2019-07-02 |
| 1992281141 | Kristin M Mobley | Social Worker | 131 Nevis Ln, Mooresville, NC 28115-2811 | 2018-07-11 |
| 1245756295 | Lkn Counseling and Sex Therapy, Pllc. | Social Worker | 110 Charleston Dr Unit 109108, Mooresville, NC 28117-7700 | 2017-08-21 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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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.