ALICIA C SUPANCE (NPI# 1659568426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659568426 |
| Entity Type | Individual |
| Full Name | ALICIA C SUPANCE |
| Credential | LSW |
| Practice Address |
2000 Polaris Pkwy Suite 100 Columbus OH 43240-2108 |
| Practice Telephone | 6144309697 |
| Mailing Telephone | 6144309697 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
S.0700809 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2000 POLARIS PKWY SUITE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43240-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376592790 | Vijaykumar Balraj | Psychologist | 2000 Polaris Pkwy, Suite 100, Columbus, OH 43240-2108 | 2006-05-10 |
| 1669764122 | Courtney Marie Camillus | Psychologist | 2000 Polaris Pkwy, Suite 100, Columbus, OH 43240-2108 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| 1184284176 | Atone Chiropractic, LLC | Clinic/Center | 8922 Lyra Dr., Columbus, OH 43240 | 2019-06-20 |
| 1467934802 | Stacey M Henry | Counselor | 8276 Tegmen St, Columbus, OH 43240 | 2018-09-02 |
| 1568825933 | Abigail Garnett | Speech-Language Pathologist | 8425 Pulsar Place, Suite 160, Columbus, OH 43240 | 2016-04-01 |
| 1629409479 | Amy Avery | Counselor | 8862 Commerce Loop Dr, Columbus, OH 43240 | 2013-12-04 |
| 1306195995 | Dr. Eric E. Neader, Inc. | Optometrist | 1500 Polaris Parkway, Suite # 1234, Columbus, OH 43240 | 2012-08-29 |
| 1477838282 | Nicholas P Colla | Pharmacist | 1040 Polaris Parkway, Columbus, OH 43240 | 2011-10-13 |
| 1588809958 | Gemini Medicine LLC | General Practice | 1510 Gemini Place, Columbus, OH 43240 | 2008-12-12 |
| 1932364296 | Justine Nnantege Ssebaggala | Licensed Practical Nurse | 9015 Barley Loft Drive, Columbus, OH 43240 | 2008-07-25 |
| 1487818720 | Irfan Khan | Dentist | 2023 Polaris Parkway, Columbus, OH 43240 | 2008-07-16 |
| Find all providers in zip 43240 | ||||
| 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 |
|---|---|---|---|---|
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1427664861 | Kelly Hellmuth | Social Worker | 49 W Henderson Rd, Columbus, OH 43214-2627 | 2020-09-21 |
| 1891308714 | Kassandra Hill | Social Worker | 8400 Veterans Pkwy Apt 1317, Columbus, GA 31909-2466 | 2020-08-29 |
| 1487265856 | Pamela Reid Seldon | Social Worker | 6242 Mill Branch Rd, Columbus, GA 31907-4430 | 2020-08-11 |
| 1205445145 | Mallorie E Davis | Social Worker | 1350 W 5th Ave Ste 112, Columbus, OH 43212-2907 | 2020-07-27 |
| 1245854223 | Jennifer Dirr | Social Worker | 3770 Tanager Dr, Columbus, OH 43230-1181 | 2020-06-04 |
| 1104446400 | Jared Bollenbacher | Social Worker | 467 Wilson Ave, Columbus, OH 43205-1944 | 2020-04-16 |
| 1093344681 | Nathanael William Russell | Social Worker | 9770 Big Hand Rd, Columbus, MI 48063-2913 | 2020-04-06 |
| 1194350488 | Sara Warren | Social Worker | 2664 Cranford Rd, Columbus, OH 43221-1108 | 2020-03-06 |
| 1285266445 | Mantra Mental Health, LLC | Social Worker | 3630 N High St Ste 203, Columbus, OH 43214-3652 | 2020-02-06 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on ALICIA C SUPANCE.
| 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.