ANDRIA EDRIES WILSON THOMPSON (NPI# 1649674441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649674441 |
| Entity Type | Individual |
| Full Name | ANDRIA EDRIES WILSON THOMPSON |
| Practice Address |
1810 Bashaw St Nw Palm Bay FL 32907-9446 |
| Practice Telephone | 5166106884 |
| Mailing Telephone | 5166106884 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1810 BASHAW ST NW |
| City | PALM BAY |
| State | FL |
| Zip Code | 32907-9446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015109 | Tyreak Albert Mclarty | Behavior Technician | 2180 Julian Ave Nw, Palm Bay, FL 32907 | 2020-05-21 |
| 1871073759 | Jessica Elizabeth Ford | Physical Therapist | 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 | 2018-08-20 |
| 1598264558 | Corey Williams | Case Management | 1850 Delki St. Nw, Palm Bay, FL 32907 | 2018-02-06 |
| 1386154904 | Lauren Nicole Meek | Social Worker | 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 | 2017-10-10 |
| 1679002877 | Kandice Monique Hearns | Physical Therapy Assistant | 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 | 2017-06-09 |
| 1780113076 | Caring Manor LLC | Assisted Living Facility | 1863 Edith St Ne, Palm Bay, FL 32907 | 2017-06-08 |
| 1467992107 | Enrique Martinez | Counselor | 1510 Studley Dr. Nw, Palm Bay, FL 32907 | 2017-02-28 |
| 1144776469 | Stephanie Ann Hoenig | Physical Therapy Assistant | 1155 Malabar Rd Se, Palm Bay, FL 32907 | 2016-08-28 |
| 1124471529 | K & S Tender Care 11 | Assisted Living Facility | 226 Abalone Road Ne, Palm Bay, FL 32907 | 2016-07-20 |
| 1235507781 | Jai Ho LLC | Specialist | 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 | 2015-09-14 |
| Find all providers in zip 32907 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861951576 | Brashaun Simone Ellington | Social Worker | 1465 Malibu Cir Ne Apt 109, Palm Bay, FL 32905-6311 | 2019-03-13 |
| 1649752973 | Community of Hope, Inc | Social Worker | 4515 Babcock St Ne, Palm Bay, FL 32905-2824 | 2018-09-04 |
| 1689153249 | Marisell Santos Cruz | Social Worker | 995 Niagara St Nw, Palm Bay, FL 32907-7710 | 2018-08-13 |
| 1184173981 | Jean Elyse Gautreaux | Social Worker | 2475 Palm Bay Rd Ne, Suite 130 #4, Palm Bay, FL 32905 | 2016-09-22 |
| 1285084707 | Alan-philip Rejean Auglis | Social Worker | 391 Myakka St Ne, Palm Bay, FL 32907-1312 | 2016-06-15 |
| 1235592395 | Monique Thomas | Social Worker | 1267 Wabash Rd Se, Palm Bay, FL 32909-5550 | 2016-04-05 |
| 1235502022 | Nancy Shaffer Klein | Social Worker | 1501 Robert J Conlan Blvd Ne Ste 200, Palm Bay, FL 32905-3561 | 2015-11-03 |
| 1184034050 | Vivian Tejera | Social Worker | 467 Biscayne Ave Nw, Palm Bay, FL 32907-1716 | 2014-05-01 |
| 1295091346 | Rebecca Brooks | Social Worker | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2012-04-03 |
| 1013930254 | Denise Porter | Social Worker | 1591 Robert J Conlan Blvd Ne, S-128, Palm Bay, FL 32905-3564 | 2006-07-26 |
| Find all providers in PALM BAY | ||||
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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.