IAN DOUGLAS MACKELVIE


Address: 1302 11th St, Eureka, CA 95501-2029
Phone: 0744092887

IAN DOUGLAS MACKELVIE (NPI# 1659651370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659651370
Entity Type Individual
Full Name IAN DOUGLAS MACKELVIE
Credential LCSW
Practice Address 1302 11th St
Eureka
CA 95501-2029
Mailing Address Po Box 232
Eureka
CA 95502-0232
Practice Telephone 0744092887
Mailing Telephone 7074409288
Enumeration Date 2011-08-25
Last Update Date 2020-08-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor 62012 CA Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
84796 CA Behavioral Health & Social Service Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2379 Myrtle Ave, Eureka, CA 955013327 7074448293
1100 California St, Eureka, CA 955011621 7074438322 7074451445
904 G St, Eureka, CA 955011829 7072692001 7072692044

Office Location

Street Address 1302 11TH ST
City EUREKA
State CA
Zip Code 95501-2029

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598365389 Camila Alaasam Social Worker 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 2020-10-29
1801493804 Autumn Benedetti Social Worker 43 Baron Ln, Eureka, MT 59917-9021 2020-10-03
1588159305 Raquel Elizabeth Lee Social Worker 3826 E St, Eureka, CA 95503-6065 2018-06-25
1134611247 Kathleen Lowder Social Worker 525 2nd St Ste 300, Eureka, CA 95501-0488 2018-06-04
1801317052 Lisa Okeefe Social Worker 381 Bayside Road, Eureka, CA 95501-0299 2017-06-28
1639606114 Nicole Pina Social Worker 710 E St, Eureka, CA 95501-1865 2017-05-16
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1710331251 Rita Zito Social Worker 3172 Walford Ave Ste 5, Eureka, CA 95503-4898 2016-04-21
1679988042 Amanda Marie Gilman Social Worker 8 Hilltop Village Center Dr, Eureka, MO 63025-1105 2014-06-24
1225307259 Amy Labovitz Cirincione Social Worker 524 5th St, Eureka, CA 95501-1033 2011-12-20
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Competitor

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City EUREKA
Zip Code 95501

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Dataset Information

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.

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