MS. STEPHANIE DIANE KINCAID (NPI# 1699127381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699127381 |
Entity Type | Individual |
Full Name | MS. STEPHANIE DIANE KINCAID |
Credential | LISW |
Practice Address |
10553 Saint Clair Ave Cleveland OH 44108-1973 |
Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
Practice Telephone | 2166827702 |
Practice Fax Number | 2169206273 |
Mailing Telephone | 3127339730 |
Enumeration Date | 2016-07-06 |
Last Update Date | 2020-05-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1801233 | OH | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
S1600015 | OH | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
16101 Snow Rd, Suite 101, Brookpark, OH 441422817 | 4402606400 |
Street Address |
10553 SAINT CLAIR AVE |
City | CLEVELAND |
State | OH |
Zip Code | 44108-1973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447526983 | Robert James Cromley II | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-03-29 |
1962914366 | Isharon Benyette Reynolds | Nurse Practitioner | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2017-10-26 |
1205282084 | Mandisa Molton | Nurse Practitioner | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2016-05-10 |
1811243397 | Jeremy Perse | Podiatrist | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-08-02 |
1114284411 | Olaoluwa Oladipo Fayanju | Family Medicine | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 | 2012-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407475080 | Fundamentals First Basketball Academy, LLC | Early Intervention Provider Agency | 977 Eddy Rd., Cleveland, OH 44108 | 2020-04-13 |
1891269395 | Kathy Rothenberg-james | Counselor | 11100 St. Clair Ave., J .glen Smith Health Center, Cleveland, OH 44108 | 2019-01-17 |
1043705353 | Tamara Dionne Lyles | Community Health Worker | 12717 Arlington Ave, Cleveland, OH 44108 | 2018-06-28 |
1215424619 | Michael Bivens | Home Health Aide | 12414 Lancelot Avenue, Cleveland, OH 44108 | 2018-04-20 |
1487163283 | Nakia S Smith | Naturopath | 10621 Dupont Ave, Cleveland, OH 44108 | 2017-09-25 |
1003362229 | Terrance Wilson | Home Health Aide | 10912 Olivet Ave, Cleveland, OH 44108 | 2016-08-28 |
1235598541 | Lashaun Walker | Home Health Aide | 10208 Kempton Ave, Cleveland, OH 44108 | 2016-02-15 |
1053709147 | Danielle R Pettus | Nurse's Aide | 12811 Brackland Ave, Apt 6, Cleveland, OH 44108 | 2014-12-26 |
1528467529 | Naomi Fleming | Licensed Practical Nurse | 368 Cleveland Road, Cleveland, OH 44108 | 2014-08-15 |
1417369646 | Camille Taylor | Home Health Aide | 696e.101st, Cleveland, OH 44108 | 2014-05-22 |
Find all providers in zip 44108 |
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 |
---|---|---|---|---|
1356953509 | Carly Scigliano | Social Worker | 10701 East Blvd Fl 6, Cleveland, OH 44106-1782 | 2020-08-19 |
1154957231 | Taylor Kaylene Buss | Social Worker | 12012 Wade Park Ave, Cleveland, OH 44106-4437 | 2020-03-20 |
1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
1942848866 | Taylor-marie Smith | Social Worker | 2037 W 32nd St, Cleveland, OH 44113-4017 | 2019-12-11 |
1487204848 | Moshe Steinmetz | Social Worker | 3620 Bendemeer Rd, Cleveland, OH 44118-1917 | 2019-09-18 |
1235792706 | Pathway To Purpose Early Learning Center LLC | Social Worker | 1536 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2019-04-19 |
1992285209 | Kayla Whiteside | Social Worker | 311 East 45th Place, Suite 212, Cleveland, OH 44127 | 2018-08-16 |
1265944169 | Elizabeth Grace Chupa | Social Worker | 4785 Memphis Ave, Cleveland, OH 44144-1916 | 2017-11-01 |
1144742677 | Bruce Steven Jones | Social Worker | 3100 East 45th Place, 212, Cleveland, OH 44127 | 2017-07-17 |
1659893717 | Nurah Abdulwahab | Social Worker | 3100 E 45th Place, 212, Cleveland, OH 44127 | 2017-07-11 |
Find all providers in CLEVELAND |
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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.