QUAD CITY PSYCHOTHERAPY, PLLC (NPI# 1689219826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689219826 |
| Entity Type | Organization |
| Organization Name | QUAD CITY PSYCHOTHERAPY, PLLC |
| Practice Address |
2513 24th St Rock Island IL 61201-5305 |
| Mailing Address |
2550 Middle Rd Ste 300 Bettendorf IA 52722-3287 |
| Practice Telephone | 3092358767 |
| Mailing Telephone | 5632651529 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | MRS. ANNIKA O'MELIA (OWNER) |
| Authorized Official Telephone | 3092358767 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | QUAD CITY PSYCHOTHERAPY, PLLC | 2513 24th St, Rock Island, IL 61201 |
| Street Address |
2513 24TH ST |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-5305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| 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 |
|---|---|---|---|---|
| 1629584511 | Tapas Yoga Shala | Social Worker | 100 19th St Ste 102, Rock Island, IL 61201-8022 | 2017-12-14 |
| 1780703462 | Richard John Connor | Social Worker | 4709 44th St, Rock Island, IL 61201-7187 | 2007-03-27 |
| 1205932399 | Amber Michelle Dopler | Social Worker | 4703 44th St Ste 3, Rock Island, IL 61201-7189 | 2006-09-15 |
| 1992800775 | Sidney G Boersma | Social Worker | 1 Rock Island Arsenal, Rock Island, IL 61299-7530 | 2006-09-14 |
| 1760492292 | Penny Kain | Social Worker | 4703 44th St, Rock Island, IL 61201-7189 | 2006-08-08 |
| 1669431821 | Rebecca Ruth Dwyer-elias | Social Worker | 1800 3rd Ave, Suite 516, Rock Island, IL 61201 | 2006-03-17 |
| 1780292425 | Doyle Evans | Social Worker | 2104 24th St, Rock Island, IL 61201-4535 | 2020-07-20 |
| 1093340721 | Kathryn Elizabeth Lally | Social Worker | 4703 44th St, Rock Island, IL 61201-7189 | 2020-03-03 |
| 1306318001 | Ashley Mclaughlin | Social Worker | 2701 17th St, Rock Island, IL 61254 | 2018-12-19 |
| 1659889913 | Jacqueline A Madunic | Social Worker | 2545 24th St, Rock Island, IL 61201-5305 | 2018-01-19 |
| Find all providers in ROCK ISLAND | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
Please comment or provide details below to improve the information on QUAD CITY PSYCHOTHERAPY, PLLC.
| 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.