MS. STEPHANIE DIANE KINCAID


Address: 10553 Saint Clair Ave, Cleveland, OH 44108-1973
Phone: 2166827702

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
16101 Snow Rd, Suite 101, Brookpark, OH 441422817 4402606400

Office Location

Street Address 10553 SAINT CLAIR AVE
City CLEVELAND
State OH
Zip Code 44108-1973

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City CLEVELAND
Zip Code 44108

Improve Information

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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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