KELLI MANGOLD (NPI# 1669921029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669921029 |
| Entity Type | Individual |
| Full Name | KELLI MANGOLD |
| Credential | LCSW (ID) LMSW (TX) |
| Practice Address |
4215 Sw 21st Ave Amarillo TX 79106-6011 |
| Practice Telephone | 9158670226 |
| Practice Fax Number | 8063183046 |
| Mailing Telephone | 9158670226 |
| Mailing Fax Number | 8063183046 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-51139 | TX | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-39588 | ID | Behavioral Health & Social Service Providers |
| Street Address |
4215 SW 21ST AVE |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1811512445 | Amber Michelle Mattheus | Social Worker | 4215 Sw 21st Ave Ste B, Amarillo, TX 79106-6011 | 2020-06-09 |
| 1275000804 | Reagan Michelle Maldonado | Social Worker | 6010 W Amarillo Blvd Rm 1251, Amarillo, TX 79106-1990 | 2018-11-01 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1861846412 | Jeremy Wessel Glover | Social Worker | 920 S Austin St, Amarillo, TX 79102-1216 | 2016-04-20 |
| 1174988695 | Cynthia Gable | Social Worker | 301 S Polk St Ste 640a, Amarillo, TX 79101-1403 | 2015-12-28 |
| 1639446065 | Alanna L Hepler | Social Worker | 5507 Sw 9th Ave, Amarillo, TX 79106-4130 | 2011-11-30 |
| 1346547189 | Susan E Stokes | Social Worker | 2610 S Ong St, Amarillo, TX 79109-2335 | 2011-02-14 |
| 1205156874 | Holly Campidilli, Mssw, Lmsw-ipr | Social Worker | 123 Mary Jon Dr, Amarillo, TX 79119-7678 | 2010-06-07 |
| 1033346259 | Rosalinda I Barrera | Social Worker | 6010 Amarillo Boulevard West, Amarillo, TX 79103 | 2009-06-15 |
| 1780750273 | Consuelo Gamez Balderaz | Social Worker | 7700 Fm 2219, Amarillo, TX 79119 | 2006-11-27 |
| Find all providers in AMARILLO | ||||
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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.