MYKAH ELLISON (NPI# 1720385552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720385552 |
| Entity Type | Individual |
| Full Name | MYKAH ELLISON |
| Credential | LMSW |
| Practice Address |
1410 Pickwick St Savannah TN 38372-3519 |
| Practice Telephone | 7319255054 |
| Practice Fax Number | 7319255699 |
| Mailing Telephone | 7319255054 |
| Mailing Fax Number | 7319255699 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2016-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6028 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q010331 | 05 |
| Street Address |
1410 PICKWICK ST |
| City | SAVANNAH |
| State | TN |
| Zip Code | 38372-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144312281 | Alissa Mcginley | Counselor | 1410 Pickwick St, Savannah, TN 38372-3519 | 2006-09-28 |
| 1891312591 | Rebecca Holloway | Counselor | 1410 Pickwick St, Savannah, TN 38372-3519 | 2020-06-29 |
| 1093054538 | Kathy Hurst | Registered Nurse | 1410 Pickwick St, Savannah, TN 38372-3519 | 2013-02-04 |
| 1982916334 | Cassie Lutrell | Counselor | 1410 Pickwick St, Savannah, TN 38372-3519 | 2010-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282950 | Sherry Ann Schoonover | Pharmacist | 175 Ji Bell Lane, Savannah, TN 38372 | 2018-04-15 |
| 1538671631 | Qualls Harbin Family Medicine LLC | Nurse Practitioner | 255 Riverside Drive, Savannah, TN 38372 | 2017-10-30 |
| 1912215500 | John D. Lay Md | Family Medicine | 855 Wayne Rd Ste B, Savannah, TN 38372 | 2010-09-17 |
| 1285942144 | David Allen Carroll | Pharmacist | 835 Pickwick Street, Savannah, TN 38372 | 2010-09-14 |
| 1972810349 | Teresa Carol Williams | Pharmacist | Kroger At 775 Pickwick Rd, Savannah, TN 38372 | 2010-09-08 |
| 1619128089 | Robert L. Ginn | Dietitian, Registered | 935 Wayne Rd., Savannah, TN 38372 | 2008-10-03 |
| 1821246786 | Delca Sue Rickman | Social Worker | 765 Florence Rd., Savannah, TN 38372 | 2008-09-04 |
| 1215119102 | Grimes - Bevis Chiropractic, Pllc | Chiropractor | 1940 Pickwick St., South, Savannah, TN 38372 | 2007-12-03 |
| 1851593594 | Melanie A Reaves Pllc | Nurse Practitioner | 1440 Pickwick St, Savannah, TN 38372 | 2007-06-04 |
| 1730300690 | William F. Conway, Md, Inc | Internal Medicine | 855 Wayne Road, Suite A1, Savannah, TN 38372 | 2007-05-01 |
| Find all providers in zip 38372 | ||||
| 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 |
|---|---|---|---|---|
| 1538772363 | Marian Marshall | Social Worker | 117 Whitehavven Rd, Savannah, GA 31407-3140 | 2020-08-31 |
| 1093326142 | Wakeshia Latoya Roberson | Social Worker | 85 Ristona Dr, Savannah, GA 31419-6220 | 2020-08-12 |
| 1932738952 | Catherine Patterson Beasley | Social Worker | 7606 Driftwood Ave, Savannah, GA 31406-4255 | 2020-04-02 |
| 1790318863 | Lakeisha K Lewis | Social Worker | 9400 Abercorn St Apt 323, Savannah, GA 31406-4525 | 2020-02-18 |
| 1568092286 | Julie Dallas | Social Worker | 836 E 65th St Ste 2, Savannah, GA 31405-4491 | 2020-01-22 |
| 1881230415 | Catherine Dejesus | Social Worker | 10 Harmony Ln, Savannah, GA 31419-9862 | 2019-11-19 |
| 1386291953 | Adrian D Anderson | Social Worker | 6205 Abercorn St Ste 204, Savannah, GA 31405-5534 | 2019-08-19 |
| 1972160604 | Erica P Dyal | Social Worker | 37 W Fairmont Ave Ste 320, Savannah, GA 31406-3458 | 2019-05-29 |
| 1851867774 | Patria Counseling LLC | Social Worker | 3025 Bull St Ste 303, Savannah, GA 31405-2049 | 2018-10-18 |
| 1932605045 | Brittaney Brackett | Social Worker | 340 Eisenhower Dr Ste 300b, Savannah, GA 31406-2683 | 2018-04-05 |
| Find all providers in SAVANNAH | ||||
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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.