ERNESTINE TILLEY (NPI# 1710321195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710321195 |
| Entity Type | Individual |
| Full Name | ERNESTINE TILLEY |
| Credential | LCSW |
| Practice Address |
305 Morton Blvd Hazard KY 41701-9418 |
| Mailing Address |
115 Rockwood Ln Hazard KY 41701-9415 |
| Practice Telephone | 6064351741 |
| Practice Fax Number | 6064350490 |
| Mailing Telephone | 6064365761 |
| Mailing Fax Number | 6064365797 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2020-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2095 | KY | Behavioral Health & Social Service Providers |
| Street Address |
305 MORTON BLVD |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548131 | Jane Bowen | Nurse Practitioner | 305 Morton Blvd, Hazard, KY 41701-9418 | 2005-06-17 |
| 1770098980 | Liza Hylton | Speech-Language Pathologist | 305 Morton Blvd, Hazard, KY 41701-9418 | 2017-12-11 |
| 1871014308 | Chelsea C Smallwood | Nurse Practitioner | 305 Morton Blvd, Hazard, KY 41701-9418 | 2017-07-06 |
| 1598175622 | Kristina Kaye Miller-gibson | Occupational Therapist | 305 Morton Blvd, Hazard, KY 41701 | 2014-04-29 |
| 1639414527 | Jenna Patton | Occupational Therapist | 305 Morton Blvd, Hazard, KY 41701-9418 | 2012-12-03 |
| 1144575671 | Farmer Pediatric Dentistry, Psc | Dentist | 305 Morton Blvd, Hazard, KY 41701-9418 | 2012-07-20 |
| 1811208846 | Angelia Marie Begley | Nurse Practitioner | 305 Morton Blvd, Hazard, KY 41701-9418 | 2010-06-24 |
| 1992026363 | Andrew Benjamin Farmer | Dentist | 305 Morton Blvd, Hazard, KY 41701-9418 | 2010-06-18 |
| 1689815862 | Laura Lea Combs | Nurse Practitioner | 305 Morton Blvd, Hazard, KY 41701-9418 | 2009-03-17 |
| 1942310958 | Hany Beshay | Psychiatry & Neurology | 305 Morton Blvd, Hazard, KY 41701-9418 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| 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 |
|---|---|---|---|---|
| 1851557409 | Charles Glenn Bradley | Social Worker | 213 Lovern St, Suite 6, Hazard, KY 41701-1761 | 2008-08-04 |
| 1124211511 | Violet Michelle Miller | Social Worker | 101 Bulldog Ln, Hazard, KY 41701-6081 | 2007-08-20 |
| 1043275589 | Robyn Gail Napier | Social Worker | 750 Morton Blvd, Hazard, KY 41701-9469 | 2006-04-18 |
| 1891169405 | Lindsay Neace | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-11-19 |
| 1386029544 | Gerald M Nations | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-07-29 |
| 1740671247 | Leslie Craft | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2015-02-05 |
| 1780088781 | Tracy Cornett | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2014-10-20 |
| 1407263361 | Amy Okasha | Social Worker | 115 Rockwood Ln, Hazard, KY 41701 | 2014-07-11 |
| 1376970566 | Allison Combs | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-10-02 |
| 1225378128 | Cheryl Mefford | Social Worker | 115 Rockwood Ln, Hazard, KY 41701-9415 | 2013-03-01 |
| Find all providers in HAZARD | ||||
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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.