RIVENDELL CENTER LLC (NPI# 1720097975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720097975 |
| Entity Type | Organization |
| Organization Name | RIVENDELL CENTER LLC |
| Practice Address |
216 Fairview Dr Maryville TN 37803-0537 |
| Mailing Address |
120 Wilson Ave Maryville TN 37803-6051 |
| Practice Telephone | 8656814914 |
| Practice Fax Number | 8659779573 |
| Mailing Telephone | 8656814914 |
| Mailing Fax Number | 8659779573 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | MRS. PATRICIA L GALLAGHER (OWNER MANAGER) |
| Authorized Official Telephone | 8656814914 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000003963 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3922162 | 05 |
| Street Address |
216 FAIRVIEW DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-0537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538330592 | Cynthia Marie Irwin | Counselor | 216 Fairview Dr, Maryville, TN 37803-0537 | 2008-03-18 |
| 1932390309 | Patricia L Gallagher | Social Worker | 216 Fairview Dr, Maryville, TN 37803-0537 | 2007-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| Find all providers in zip 37803 | ||||
| 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 |
|---|---|---|---|---|
| 1134732696 | Anna Lynn Gallo | Social Worker | 702 Grandview Dr, Maryville, TN 37803-5306 | 2020-08-25 |
| 1861851875 | Amy Haerr | Social Worker | 2135 N Center St, Maryville, IL 62062-2025 | 2016-02-18 |
| 1356737787 | Bethany Minser Love | Social Worker | 4527 Gribble Rd, Maryville, TN 37803-1827 | 2015-04-13 |
| 1457796765 | Brandi Garlich | Social Worker | 3 Oak Dr Ste B, Maryville, IL 62062-5635 | 2013-05-01 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1972873289 | Sarah Buchanan | Social Worker | 309 N Houston St, Maryville, TN 37801-4733 | 2012-01-03 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1285871160 | Christine Marie Jacobson | Social Worker | 106 W Edwards St, Maryville, MO 64468-2419 | 2009-01-14 |
| 1760644231 | Sabrina Lepkofker | Social Worker | 113 S Maple St, Maryville, TN 37803-5766 | 2008-06-26 |
| 1033302674 | Shannon W Brown | Social Worker | 547 W. Lamar Alexander Parkway, Maryville, TN 37801-4760 | 2007-08-27 |
| Find all providers in MARYVILLE | ||||
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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.