STACIE KEMP (NPI# 1710361183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710361183 |
| Entity Type | Individual |
| Full Name | STACIE KEMP |
| Practice Address |
325 Illinois Rt 2 Dixon IL 61021-9118 |
| Mailing Address |
4117 W Pebble Beach Ct Franklin WI 53132-9479 |
| Practice Telephone | 8152846611 |
| Mailing Telephone | 4145311652 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
7369-123 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149010053 | IL | Behavioral Health & Social Service Providers |
| Street Address |
325 ILLINOIS RT 2 |
| City | DIXON |
| State | IL |
| Zip Code | 61021-9118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225237233 | Maria D Ruch | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2007-07-11 |
| 1417558719 | Michael Kenneth Buza | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-11-03 |
| 1275133514 | Stephanie Mae Roman | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-10-27 |
| 1003416520 | Rae Lynn Metzler8 | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-10-26 |
| 1477160935 | Anne Fridh | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-29 |
| 1255948634 | Ashley Nicole Edwards | Social Worker | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-29 |
| 1184230856 | Olimpia Bernal | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-09-18 |
| 1538772496 | Sierra Nicole Elsbury | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-28 |
| 1659984953 | Caitlin Joy Refatllari | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-26 |
| 1811500390 | Tyler Inghram | Counselor | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699331082 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1600 South Galena Ave, Dixon, IL 61021 | 2019-05-12 |
| 1285135590 | Richard Allen Sibert | Counselor | 325 Il Route 2,dixon Il, Dixon, IL 61021 | 2018-02-22 |
| 1518485432 | Madeline Luniewicz | Counselor | 325 Il-2, Dixon, IL 61021 | 2017-08-30 |
| 1669992566 | Nicole Marie Shaffer | Specialist/Technologist | 650 Reynoldswood Road, Dixon, IL 61021 | 2017-06-21 |
| 1346660446 | Lydia Sitter | Audiologist | 215 3. 1st Street, Suite 317, Ksb Medical Group, Dixon, IL 61021 | 2014-04-16 |
| 1053600080 | Janet I. Malmberg | Nurse Practitioner | 309 South Galena Ave, Suite 100, Dixon, IL 61021 | 2011-03-30 |
| 1376775262 | Kelly L Klein | Optometrist | 511 Palmyra Street, Ksb Eye & Vision Care, Dixon, IL 61021 | 2009-08-11 |
| 1013119106 | Michael Joseph Sarno | Physical Therapist | 401 E. First Street, Dixon, IL 61021 | 2007-06-01 |
| 1891905600 | Thomas G. Gehlbach | Internal Medicine | 215 E 1st St Ste 111, Dixon, IL 61021 | 2007-05-23 |
| 1699987230 | Sameer Jain | Family Medicine | 102 S. Hennepin Ave., Ksb Medical Group, Dixon, IL 61021 | 2007-05-04 |
| Find all providers in zip 61021 | ||||
| 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 |
|---|---|---|---|---|
| 1295374163 | Nina Acosta | Social Worker | 8049 Jahn Rd, Dixon, CA 95620-9721 | 2019-12-24 |
| 1528468063 | Donette C Considine | Social Worker | 1254 N Galena Ave, Suite C, Dixon, IL 61021-1047 | 2014-09-03 |
| 1992112064 | Toni M Leal | Social Worker | 291 Il Route 2 Lot 442, Dixon, IL 61021-8019 | 2014-07-21 |
| 1487741310 | Linda R Sikes | Social Worker | 255 North Lincoln Street, Suite H Dixon Professional Building, Dixon, CA 95620-3238 | 2006-10-10 |
| 1952414070 | Brian A Smith | Social Worker | 119 W 1st St, Suite 110, Dixon, IL 61021-3056 | 2006-08-15 |
| 1528524501 | Michelle-renee Emery Spinden | Social Worker | 325 Illinois Rt 2, Dixon, IL 61021-9118 | 2019-02-14 |
| 1962936971 | Marie Michels | Social Worker | 411 B Street, Dixon, MT 59808 | 2017-04-17 |
| 1881986636 | Helen R Woodrum | Social Worker | 403 E 1st St, Dixon, IL 61021 | 2011-05-12 |
| 1750691192 | Alison Boothe | Social Worker | 325 Il Route 2, Dixon, IL 61021-9118 | 2010-10-19 |
| 1154652147 | Alliances Counseling Services | Social Worker | 119 W 1st St, Suite 110, Dixon, IL 61021-3056 | 2010-01-15 |
| Find all providers in DIXON | ||||
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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.