CRYSTAL LIEDTKE (NPI# 1639654858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639654858 |
| Entity Type | Individual |
| Full Name | CRYSTAL LIEDTKE |
| Credential | LCSW |
| Practice Address |
3403 Heartland St Marion IL 62959-6393 |
| Practice Telephone | 6189975311 |
| Mailing Telephone | 6189975311 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149020496 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3403 HEARTLAND ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1144842949 | Lindsay Marie Miles | Social Worker | 309 7th Ave, Marion, IA 52302-5774 | 2020-05-14 |
| 1053890749 | Wayne Assing | Social Worker | 481 Delano Rd, Marion, MA 02738-5104 | 2018-08-13 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1073051934 | Hope Counseling Associates | Social Worker | 117 Primo Cir, Marion, AR 72364-9034 | 2017-02-10 |
| 1861934705 | Allen R Stata | Social Worker | 104 Edwards Drive, Marion, AL 36756 | 2016-11-09 |
| 1760875819 | Deanne M Ackley | Social Worker | 126 N Garden St, Marion, NC 28752-3710 | 2015-03-13 |
| 1528479334 | New Horizons Counseling Center | Social Worker | 219 E Lee St, Marion, VA 24354-2731 | 2014-05-14 |
| 1225453129 | Glenn Mccleese | Social Worker | 4333 Firstenberger Rd, Marion, OH 43302-8941 | 2014-02-28 |
| 1285071712 | Risa Stutz | Social Worker | 1301 Enterprise Way Ste 44, Marion, IL 62959-4442 | 2013-05-23 |
| 1891055711 | Heidi Hansen Beach | Social Worker | 119 Wareham Rd Unit 102b, Marion, MA 02738-1178 | 2012-05-24 |
| Find all providers in MARION | ||||
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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.