MS. MARY JAN TREADWELL (NPI# 1730183062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730183062 |
| Entity Type | Individual |
| Full Name | MS. MARY JAN TREADWELL |
| Credential | LCSW |
| Practice Address |
1701 White Street Mccomb MS 39648 |
| Mailing Address |
Po Box 768 1701 White Street Mccomb MS 39648 |
| Practice Telephone | 6012494228 |
| Practice Fax Number | 6012494244 |
| Mailing Telephone | 6012494228 |
| Mailing Fax Number | 6012494244 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
TX | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
09416 | TX | Behavioral Health & Social Service Providers |
| Street Address |
1701 WHITE STREET |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326572694 | Louis Banks | Counselor | 1701 White Street, Mccomb, MS 39648 | 2017-04-13 |
| 1790150969 | Samantha B Coleman | Counselor | 1701 White Street, Mccomb, MS 39648 | 2015-12-14 |
| 1306256755 | Latoya Coleman | Social Worker | 1701 White Street, Mccomb, MS 39648 | 2014-05-06 |
| 1013248319 | Tomora Thomas | Social Worker | 1701 White Street, Mccomb, MS 39648 | 2010-01-26 |
| 1508192949 | Jessie L Singleton | Social Worker | 1701 White Street, Mccomb, MS 39648 | 2009-10-20 |
| 1952544165 | Rosie L King | Counselor | 1701 White Street, Mccomb, MS 39648 | 2009-04-17 |
| 1003983198 | Melinda Swinney | Counselor | 1701 White Street, Mccomb, MS 39648 | 2006-11-30 |
| 1205915428 | Donna Kay Pittman | Nurse Practitioner | 1701 White Street, 768, Mccomb, MS 39648 | 2006-11-06 |
| 1841221066 | Teresa Ann Boyd | Social Worker | 1701 White Street, Mccomb, MS 39648 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| 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 |
|---|---|---|---|---|
| 1609347160 | Patricia D Artigues | Social Worker | 900 Hickory Ave, Mccomb, MS 39648-2216 | 2018-12-10 |
| 1184057556 | Chris M Huff Lcsw Pllc | Social Worker | 420 Delaware Ave, Mccomb, MS 39648-4021 | 2013-08-20 |
| 1679722904 | Stephanie Dion Spears | Social Worker | 300 Rawls Dr Ste 900, Mccomb, MS 39648-2864 | 2008-09-10 |
| 1346437761 | Mccomb School District | Social Worker | 1000 Elmwood St, Mccomb, MS 39648-2536 | 2007-10-01 |
| 1518173525 | Thomas A Gonsalves | Social Worker | 307 Apache Dr Ste B, Mccomb, MS 39648-6309 | 2007-05-15 |
| 1659311967 | Thomas A Gonsalves Incorporated | Social Worker | 307 Apache Drive, Suite B, Mccomb, MS 39648-6309 | 2006-06-07 |
| 1821608142 | Stepping Stones Testing & Therapy Services, Pllc | Social Worker | 420 Delaware Ave, Mccomb, MS 39648-4021 | 2020-08-01 |
| 1760092183 | Cycily Rashun Denman | Social Worker | 420 Delaware Ave, Mccomb, MS 39648-4021 | 2020-08-01 |
| 1194376012 | Stephanie Spears, Lcsw, Pllc | Social Worker | 300 Rawls Dr Ste 900, Mccomb, MS 39648-2864 | 2019-09-23 |
| 1821560319 | Lacey Broom Holmes | Social Worker | 1312c Harrison Ave, Mccomb, MS 39648-2830 | 2018-12-20 |
| Find all providers in MCCOMB | ||||
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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.