A PROMISE FOR PARENTS (NPI# 1639623044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639623044 |
| Entity Type | Organization |
| Organization Name | A PROMISE FOR PARENTS |
| Practice Address |
810 S 4th St Dekalb IL 60115-4410 |
| Practice Telephone | 8157581358 |
| Practice Fax Number | 8157581580 |
| Mailing Telephone | 8157581358 |
| Mailing Fax Number | 8157581580 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Authorized Official Name | MRS. DENICE MARIE MOCK (DIRECTOR/OWNER) |
| Authorized Official Telephone | 8157581358 |
| Authorized Official Credential | MSW LCSW ABD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149013457 | IL | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | A PROMISE FOR PARENTS | 810 S 4th St, Dekalb, IL 60115-4410 |
| Street Address |
810 S 4TH ST |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-4410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952481277 | Medicine Shoppe of Dekalb Inc | Pharmacy | 810 S 4th St, Dekalb, IL 60115-4410 | 2006-10-17 |
| 1922370527 | Parents With Promise LLC | Community/Behavioral Health | 810 S 4th St, Dekalb, IL 60115-4410 | 2012-01-30 |
| 1114052420 | Robert Anthony Tamblyn | Pharmacist | 810 S 4th St, Dekalb, IL 60115-4410 | 2007-02-23 |
| 1396870648 | Lynn F Laseman | Pharmacist | 810 S 4th St, Dekalb, IL 60115-4410 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| 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 |
|---|---|---|---|---|
| 1275158016 | Kimberly Hinzy | Social Worker | 1211 Sycamore Rd, Dekalb, IL 60115-2484 | 2020-06-08 |
| 1437646916 | Margaret Mosca | Social Worker | 626 N 5th St, Dekalb, IL 60115-3317 | 2018-04-19 |
| 1487183398 | Kristin Gilbertson | Social Worker | 810 South 4th Street, Dekalb, IL 60115-4410 | 2017-06-06 |
| 1649658063 | Laura Gillberg | Social Worker | 511 Normal Rd Apt 104, Dekalb, IL 60115-2259 | 2015-05-18 |
| 1770751356 | Lori Ann Watts | Social Worker | 509 Oak St, Dekalb, IL 60115-3360 | 2008-02-15 |
| 1649395153 | Carmen Lynn Crosser | Social Worker | 400 E Hillcrest Drive, Suite 100a, Dekalb, IL 60115-2480 | 2007-03-21 |
| 1306996889 | Theresa Schade | Social Worker | 213 E Locust St, Dekalb, IL 60115-3209 | 2007-01-10 |
| 1386204170 | Cara Higgins | Social Worker | 14 Health Services Dr, Dekalb, IL 60115-9637 | 2019-06-14 |
| 1174068738 | Megan Wicklund | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2017-01-05 |
| 1770946550 | Talisa Marie Paul | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2016-03-30 |
| Find all providers in DEKALB | ||||
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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.