TARA GULLING HAVELY (NPI# 1639379407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639379407 |
| Entity Type | Individual |
| Full Name | TARA GULLING HAVELY |
| Other Name | TARA LYNN GULLING |
| Credential | LCSW |
| Practice Address |
120 Hospital Dr Suite 230 Jefferson City TN 37760-5287 |
| Mailing Address |
Department 888182 Knoxville TN 37995-8182 |
| Practice Telephone | 8654710312 |
| Practice Fax Number | 8654752802 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2010-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW5265 | TN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
7277 | TN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW7277 | TN | Behavioral Health & Social Service Providers |
| Street Address |
120 HOSPITAL DR SUITE 230 |
| City | JEFFERSON CITY |
| State | TN |
| Zip Code | 37760-5287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646084 | Angela Brooke Burkhalter | Physician Assistant | 120 Hospital Dr, Jefferson City, TN 37760-5287 | 2019-02-22 |
| 1013374503 | Aaron C. Harris | Physician Assistant | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2016-01-28 |
| 1982076766 | Melissa A Cameron | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2015-10-20 |
| 1700267929 | Tabetha Mcgill | Health Educator | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2015-06-12 |
| 1699107672 | Kevin Dwayne Hyatt | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2013-08-01 |
| 1538412333 | Eva Huntsman | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2012-10-18 |
| 1073862124 | Sheri Agatha Nsamenang | Student in an Organized Health Care Education/Training Program | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-09-05 |
| 1558633370 | Vicki Lynn Merritt | Case Manager/Care Coordinator | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2012-02-09 |
| 1730461666 | Jacqueline S Zgiet | Nurse Practitioner | 120 Hospital Dr, Suite 130, Jefferson City, TN 37760-5287 | 2011-09-16 |
| 1912289471 | Janet Colleen Hall | Registered Nurse | 120 Hospital Dr, Suite 230, Jefferson City, TN 37760-5287 | 2011-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699235929 | Emmley L Cole | Nurse Practitioner | 277 E W Broadway Blvd, Jefferson, TN 37760 | 2019-03-22 |
| 1275044877 | Cindy Anderson | Nurse Practitioner | 277 E Broadway Blvd, Jefferson City, TN 37760 | 2017-10-23 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| 1124422266 | Penny Williams-cordeiro | Nurse Practitioner | 1901 Brookside Drive, Suite 105, Kingsport, TN 37760 | 2014-10-17 |
| 1215363841 | Lindsey Ann Clyde | Physician Assistant | 120 Hospital Dr Ste 130, Jefferson City, TN 37760 | 2013-09-14 |
| 1679849814 | Allison Renee Farris | Surgery | 120 Hospital Dr Ste G20, Jefferson City, TN 37760 | 2012-03-31 |
| 1245562891 | Steven Jarvis Monroe | Dentist | 156 W. Broadway Blvd., Jefferson City, TN 37760 | 2010-02-08 |
| 1952560625 | Summit Medical Group,pllc | Internal Medicine | 380 W Broadway Blvd, Jefferson City, TN 37760 | 2008-06-06 |
| 1780756189 | Steven J Monroe Dds PC | Dentist | 156 W Broadway Blvd, Jefferson City, TN 37760 | 2006-11-14 |
| 1720188600 | Dennis U Spjut | Psychologist | 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 | 2006-09-22 |
| Find all providers in zip 37760 | ||||
| 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 |
|---|---|---|---|---|
| 1275154825 | Jessica Rea Harris | Social Worker | 409 Capitol View Dr, Jefferson City, MO 65101-3904 | 2020-05-05 |
| 1962983841 | Stephen Field Keohane | Social Worker | 331 Freedom Ln, Jefferson City, TN 37760-4132 | 2018-08-28 |
| 1609201896 | Brian Jesse Page | Social Worker | 2302 Militia Dr, Jefferson City, MO 65101-1203 | 2013-09-06 |
| 1093090508 | Sunrise Counseling LLC | Social Worker | 1808a Southwest Blvd, Jefferson City, MO 65109-2438 | 2011-10-15 |
| 1619257326 | Re-entry Transitions Counseling, L.L.C. | Social Worker | 1001 Southwest Blvd Ste F, Jefferson City, MO 65109-2501 | 2011-08-25 |
| 1306017132 | Harry Frederick Morlock Sr. | Social Worker | 972 Westwood Dr, Jefferson City, MO 65109-1863 | 2008-03-19 |
| 1104948769 | Kenneth Mark Skouby | Social Worker | 515a East Mccarty, Jefferson City, MO 65101 | 2007-04-04 |
| 1699702225 | Jennifer Lynn Mccullough | Social Worker | 909 Missouri Blvd, Suite F, Jefferson City, MO 65109-1771 | 2006-06-27 |
| 1104896745 | Timothy Wayne Davis | Social Worker | 283 W Broadway Blvd, Jefferson City, TN 37760-2302 | 2006-01-25 |
| 1013518513 | Jennie M Harvat | Social Worker | 227 Metro Dr, Jefferson City, MO 65109-1134 | 2020-11-03 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 37760 |
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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.