JOURNEY 4 SELF LLC (NPI# 1720560907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720560907 |
| Entity Type | Organization |
| Organization Name | JOURNEY 4 SELF LLC |
| Practice Address |
2338 Aldrin Dr Sidney OH 45365-1510 |
| Practice Telephone | 9379022183 |
| Mailing Telephone | 9379022183 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2020-02-06 |
| Authorized Official Name | MARY JEAN CARPENTER (OWNER) |
| Authorized Official Telephone | 9379022183 |
| Authorized Official Credential | MSW, LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1800969 | Behavioral Health & Social Service Providers |
| Street Address |
2338 ALDRIN DR |
| City | SIDNEY |
| State | OH |
| Zip Code | 45365-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750881660 | Mary Jean Carpenter | Social Worker | 2338 Aldrin Dr, Sidney, OH 45365 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568979045 | Healthstat Onsiet Clinic Nk Parts | Preventive Medicine | 800 S Kuther Rd, Sidney, OH 45365 | 2018-01-05 |
| 1225565427 | Courtney Lynn Spearman | Speech-Language Pathologist | 1152 St. Marys Avenue, Sidney, OH 45365 | 2017-05-18 |
| 1710381439 | Tammy Bridenbaugh | Nursing Care | 1028 N. Broadway, Sidney, OH 45365 | 2014-10-09 |
| 1568897346 | Rachelle Kistner | Counselor | 1065 Fairington Dr, Sidney, OH 45365 | 2013-09-11 |
| 1073955670 | Orthopaedic Institute of Ohio, Inc. | Durable Medical Equipment & Medical Supplies | Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 | 2013-07-24 |
| 1023350394 | Honey Gem Drinnen | Licensed Practical Nurse | 416 Ironwood Drive, Sidney, OH 45365 | 2013-03-25 |
| 1376853325 | Jamey Leigh Hepner | Nurse Practitioner | 1101 N Vandemark Rd, Sidney, OH 45365 | 2010-10-08 |
| 1578701850 | Fairlawn Local Schools | Local Education Agency (LEA) | 18000 Johnston Rd, Sidney, OH 45365 | 2009-01-26 |
| 1730345398 | Angela Castle | Counselor | 1101 N Vandermark Rd., Sidney, OH 45365 | 2008-08-04 |
| 1235344391 | Shawntee Jane Poppe | Home Health Aide | 14991 Charmhill Drive, Sidney, OH 45365 | 2007-05-11 |
| Find all providers in zip 45365 | ||||
| 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 |
|---|---|---|---|---|
| 1750881660 | Mary Jean Carpenter | Social Worker | 2338 Aldrin Dr, Sidney, OH 45365 | 2018-02-16 |
| 1083071187 | Kysa E Rasmussen | Social Worker | 1100 5th St Sw, Sidney, MT 59270-3643 | 2016-01-20 |
| 1669734596 | Edward Nichols | Social Worker | 22 Weir St, 3rd Floor, Sidney, NY 13838-1022 | 2012-06-15 |
| 1487881777 | Elizabeth Kay Hector | Social Worker | 1201 W Holly St, Suite 4, Sidney, MT 59270-3596 | 2009-06-15 |
| 1932277738 | Tammy Lynn Rench | Social Worker | 113 N Ohio Ave, Suite 200, Sidney, OH 45365-2786 | 2006-12-01 |
| 1568448645 | Kelly Davis | Social Worker | 211 N Main Ave, Sidney, OH 45365-2705 | 2005-12-20 |
| 1922465145 | Tasha Carpenter | Social Worker | 128 N Main Ave, Sidney, OH 45365-2731 | 2016-01-19 |
| 1710377684 | Karen Arnold Truax | Social Worker | 216 14th Ave Sw, Sidney, MT 59270-3519 | 2015-01-30 |
| 1508121971 | Edward Nichols Edward Nichols Consulting | Social Worker | 22 Weir St, 3rd Floor, Sidney, NY 13838-1022 | 2012-07-11 |
| 1780956300 | Jessica Mcdanold | Social Worker | 1405 4th St Sw, Sidney, MT 59270-3515 | 2012-01-27 |
| Find all providers in SIDNEY | ||||
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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.