MS. TERESA C. BOOSE


Address: 929 Stacey Burk Dr, Flora, IL 62839-3241
Phone: 6186622191

MS. TERESA C. BOOSE (NPI# 1699174185) 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) 1699174185
Entity Type Individual
Full Name MS. TERESA C. BOOSE
Credential LCSW
Practice Address 929 Stacey Burk Dr
Flora
IL 62839-3241
Practice Telephone 6186622191
Practice Fax Number 6186628090
Mailing Telephone 6186622191
Mailing Fax Number 6186628090
Enumeration Date 2014-08-20
Last Update Date 2014-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149.009931 IL Behavioral Health & Social Service Providers

Office Location

Street Address 929 STACEY BURK DR
City FLORA
State IL
Zip Code 62839-3241

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144208349 Brandon Cycholl Family Medicine 929 Stacey Burk Dr, Clay County Hospital Medical Clinic, Flora, IL 62839-3241 2006-01-06
1639776297 Krystal Volk Nurse Practitioner 929 Stacey Burk Dr, Flora, IL 62839-3241 2020-10-07
1144737248 Jennifer Henson Registered Nurse 929 Stacey Burk Dr, Flora, IL 62839-3241 2018-01-10
1932648656 S Thomas Sehy Dpm LLC Podiatrist 929 Stacey Burk Dr, Flora, IL 62839-3241 2017-02-14
1316338890 Angela Casolari Nurse Practitioner 929 Stacey Burk Dr, Flora, IL 62839-3241 2015-02-05
1780086801 Cody Burnett Physical Therapist 929 Stacey Burk Dr, Flora, IL 62839-3241 2014-09-19
1063775443 Jessica Lewis Physical Therapist 929 Stacey Burk Dr, Flora, IL 62839-3241 2012-06-20
1902056138 James Edward Cowger Jr. Emergency Medical Technician, Paramedic 929 Stacey Burk Dr, Flora, IL 62839-3241 2008-09-24
1609031772 Michele K. Hartke Nurse Practitioner 929 Stacey Burk Dr, Flora, IL 62839-3241 2008-07-28
1497860811 Jeanne E. Holdren Nurse Practitioner 929 Stacey Burk Dr, Flora, IL 62839-3241 2006-08-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467887455 Gayla Kay Dunaway Occupational Therapist 232 Givens Dr, Flora, IL 62839 2013-09-09
1952652349 Health Care Management Corporation Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 408 E 4th St, Rosewood Estates, Flora, IL 62839 2012-09-25
1437445947 Gaurav Nigam Family Medicine 911 Stacy Burk Drive, Flora, IL 62839 2011-06-22
1831413947 Philip K.c. Chung Obstetrics & Gynecology 116 East 4th, Floria, IL 62839 2010-03-18
1669672465 Heritage Woods LLC Assisted Living Facility 1003 West 4th Street, Flora, IL 62839 2007-07-19
1043365968 Martin Dental Associates PC Dentist 501 North Main Street, Flora, IL 62839 2007-01-23
1518047356 Linda L Robards Registered Nurse Clay Medical Center, 201 E N Avenue, Flora, IL 62839 2006-10-16
1144312000 Valerie Jill Henderson Registered Nurse 201 E N Avenue, Clay Medical Center, Flora, IL 62839 2006-09-29
1164523221 Kimberly Ann Greenwalt Licensed Practical Nurse 201 E N Ave, Clay Medical Center, Flora, IL 62839 2006-09-25
1558879676 Melissa Kay Laslie Registered Nurse 911 Stacy Burk Drive, Flora, IL 62839 2018-01-11
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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
1457992869 Debra Baker Social Worker 253 Pine View Cir, Flora, MS 39071-9608 2019-10-07
1902140304 Family First Behavioral Health Social Worker 4848 Main St, Flora, MS 39071-9515 2012-11-26
1326169145 Roberta Hinman Social Worker 809 N Main St, Flora, IL 62839-1033 2007-04-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447851241 Courtney A Behrens Social Worker 150 Deerpath Rd, Algonquin, IL 60102-1861 2020-11-06
1801497623 Sedulous Counseling & Consulting Services Pllc Social Worker 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 2020-11-06
1295336022 Web Healing Collective Pllc Social Worker 6207 N Springfield Ave, Chicago, IL 60659-1015 2020-11-06
1174124036 Reginald Washington Edwards Social Worker 18660 Walnut Ave, Country Club Hills, IL 60478-5549 2020-11-05
1881295186 Belva Marie Dibert Social Worker 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 2020-11-03
1801496468 Monica Dushane Social Worker 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 2020-10-31
1528668373 Stephanie Caballero Novak Social Worker Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 2020-10-30
1598365488 Karyssa Lee Haase Social Worker 745 E Court St, Paris, IL 61944-2460 2020-10-29
1699375592 Andrea Doherty Social Worker 526 Keystone Ave, River Forest, IL 60305-1612 2020-10-29
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
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Competitor

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City FLORA
Zip Code 62839

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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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