CHRISTINA LOUISE SOUTHERN (NPI# 1700398534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700398534 |
| Entity Type | Individual |
| Full Name | CHRISTINA LOUISE SOUTHERN |
| Credential | LCSW |
| Practice Address |
571 S Allen Rd Flat Rock NC 28731 |
| Mailing Address |
571 S Allen Rd Flat Rock NC 28731-9447 |
| Practice Telephone | 8286926178 |
| Practice Fax Number | 8286922365 |
| Mailing Telephone | 8286926178 |
| Mailing Fax Number | 8286922365 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | C003814 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C003814 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSED CLINICAL SOCIAL WORKER | C003814 | 01 |
| Street Address |
571 S ALLEN RD |
| City | FLAT ROCK |
| State | NC |
| Zip Code | 28731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275528176 | Hospice of Henderson County Inc | Hospice Care, Community Based | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2005-09-16 |
| 1265049571 | Margaret Clarke Mcclellan | Registered Nurse | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2020-09-30 |
| 1225656028 | Sarah Presley | Social Worker | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2020-07-08 |
| 1386265858 | Emily Fitzgerald Regan | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2020-05-06 |
| 1689211492 | Allison Grace Christian | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2019-12-01 |
| 1598307787 | Beverly Joan Joy | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2019-10-09 |
| 1275183147 | Jody Puckett Crisp | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2019-09-12 |
| 1114575511 | Stacie Lynn Raasch | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2019-08-28 |
| 1912567579 | Emily West Baldwin | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2019-06-17 |
| 1942869854 | Casara Cole Slankard | Nurse Practitioner | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2019-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949907 | Just In Time Fch | Assisted Living Facility | 226 Kendrick Ct, Flat Rock, NC 28731 | 2011-01-12 |
| 1487805222 | Roger Davis Shetterly | Family Medicine | 103 Wythe Ct, Flat Rock, NC 28731 | 2008-10-09 |
| 1043344328 | Susan Louise Olcott | Dentist | 520 S. Allen Rd Suite 4, Flat Rock, NC 28731 | 2007-03-16 |
| 1194827212 | Dr William & Patrick Garrison Pllc | Dentist | 2689 A Greenville Hwy, Flat Rock, NC 28731 | 2006-09-01 |
| 1083733125 | Patrick W Garrison | Dentist | 2689 A Greenville Hwy, Flat Rock, NC 28731 | 2007-03-28 |
| 1043339278 | William T Garrison | Dentist | 2689 A Greenville Hwy, Flat Rock, NC 28731 | 2007-03-28 |
| 1962742445 | Elizabeth Deering Elzey | Acupuncturist | 2704 Greenville Hwy, Suite B, Flat Rock, NC 28731-0446 | 2013-02-21 |
| 1841336807 | Kathy W Haynes | Occupational Therapist | 130 Eagles Reach Drive, David Sink Blg-brcc, Flat Rock, NC 28731-4728 | 2007-01-29 |
| 1336253509 | Stepping Stones Pediatric Services, Inc. | Physical Therapist | 130 Eagle's Reach Drive, Blue Ridge Community College, Flat Rock, NC 28731-4728 | 2006-08-17 |
| 1215111695 | Hand With Heart Therapy, Inc | Occupational Therapist | 130 Eagles Reach Drive, David Sink Bld-brcc, Flat Rock, NC 28731-4728 | 2007-12-21 |
| Find all providers in zip 28731 | ||||
| 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 |
|---|---|---|---|---|
| 1972869733 | Christine Ellsworth Lau | Social Worker | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2012-04-05 |
| 1144590795 | Lynda Gail Dunbar | Social Worker | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2012-01-12 |
| 1821322736 | Deborah Kay Lloyd | Social Worker | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2009-09-24 |
| 1144480732 | Beth Anne Chalmers | Social Worker | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2008-06-17 |
| 1437316874 | Debra Olin Moran | Social Worker | 571 S Allen Rd, Flat Rock, NC 28731-9447 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
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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.