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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.009931 | IL | Behavioral Health & Social Service Providers |
Street Address |
929 STACEY BURK DR |
City | FLORA |
State | IL |
Zip Code | 62839-3241 |
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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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 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 |
---|---|---|---|---|
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 |
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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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.