DR. IDA C MICHIE (NPI# 1710206404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710206404 |
| Entity Type | Individual |
| Full Name | DR. IDA C MICHIE |
| Credential | LCSW |
| Practice Address |
5190 Bayou Blvd Bldg 6 Pensacola FL 32503-2194 |
| Practice Telephone | 9044760977 |
| Mailing Telephone | 9044760977 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW 347 | WY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 9793 | FL | Behavioral Health & Social Service Providers |
| Street Address |
5190 BAYOU BLVD BLDG 6 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2194 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947377 | Robert Scott Benson | Psychiatry & Neurology | 5190 Bayou Blvd, Bldg 6, Pensacola, FL 32503-2194 | 2005-07-29 |
| 1235673500 | Shanay Springs | Behavior Technician | 5190 Bayou Blvd, Bldg. 2, Pensacola, FL 32503-2194 | 2016-12-06 |
| 1225586084 | Francisca Welch | Behavioral Analyst | 5190 Bayou Blvd, Bldg 2, Pensacola, FL 32503-2194 | 2016-09-21 |
| 1083061113 | Avianna Shull | Behavioral Analyst | 5190 Bayou Blvd, Bldg. 2, Pensacola, FL 32503-2194 | 2016-05-18 |
| 1669829792 | Meaghan Rice | Behavioral Analyst | 5190 Bayou Blvd, Building 2, Pensacola, FL 32503-2194 | 2016-05-18 |
| 1437531670 | Meredith Pitard | Behavioral Analyst | 5190 Bayou Blvd, Building 2, Pensacola, FL 32503-2194 | 2015-06-24 |
| 1164837167 | Jarod Keremes | Behavioral Analyst | 5190 Bayou Blvd, Building 2, Pensacola, FL 32503-2194 | 2014-06-27 |
| 1770622557 | Jennifer C Thompson | Pediatrics | 5190 Bayou Blvd, Suite 7, Pensacola, FL 32503-2194 | 2007-02-06 |
| 1437185923 | William C. Wilson D.o. P.a. | Family Medicine | 5190 Bayou Blvd, Bldg 2, Pensacola, FL 32503-2194 | 2006-06-25 |
| 1497727408 | Connie Elizabeth Nobles | Social Worker | 5190 Bayou Blvd, Bldg 6, Pensacola, FL 32503-2194 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| 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 |
|---|---|---|---|---|
| 1174122485 | Sharla Calloway | Social Worker | 101 E Romana St, Pensacola, FL 32502-5689 | 2020-10-19 |
| 1275148900 | Michelle Mackin | Social Worker | 8631 Messick St, Pensacola, FL 32534-1016 | 2020-09-10 |
| 1326650490 | Christine Collett | Social Worker | 9895 Rail Cir, Pensacola, FL 32507-7211 | 2020-08-20 |
| 1710595921 | Brandi Melissa Helmly | Social Worker | 4532 Tradewinds Pl, Pensacola, FL 32514-6772 | 2020-07-14 |
| 1093338105 | Teri T Perkins Lcsw LLC | Social Worker | 7100 Plantation Road, Ste 11, Pensacola, FL 32504-4206 | 2020-05-22 |
| 1134757313 | Deborah Hope Solano | Social Worker | 1028 Underwood Ave, Pensacola, FL 32504-8924 | 2020-04-01 |
| 1902446529 | Joseph Montano Jr. | Social Worker | 4400 Bayou Blvd Ste 51, Pensacola, FL 32503-1909 | 2020-01-11 |
| 1871134494 | Amanda Leigh Haggard | Social Worker | 5435 Japonica Ave, Pensacola, FL 32507-8848 | 2019-10-04 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1396394540 | Tiffany Chen | Social Worker | 9300 Camberwell Rd, Pensacola, FL 32514-5837 | 2019-09-10 |
| Find all providers in PENSACOLA | ||||
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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.