DR. JAMES VAUGHN BROCK JR. (NPI# 1750485850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750485850 |
| Entity Type | Individual |
| Full Name | DR. JAMES VAUGHN BROCK JR. |
| Credential | MDIV., PSYD., L.S.W. |
| Practice Address |
Dougherty Counseling Center 1919 State St., Ste. #2 New Albany IN 47150 |
| Practice Telephone | 8129442532 |
| Practice Fax Number | 8129442549 |
| Mailing Telephone | 8129442532 |
| Mailing Fax Number | 8129442549 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2011-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2009-100 | KY | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 33001554A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CAQH PROVIDER # | 11438111 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912036823 | James Murray Brock Jr. | Dermatology | 136 Marion Ave, Mccomb, MS 39648-3620 | 2007-03-05 |
| 1316034754 | James Lee Brock | Technician/Technologist | 108 W George St, Arcanum, OH 45304-1109 | 2006-10-06 |
| 1790711711 | James Brock | Obstetrics & Gynecology | 3686 Grandview Pkwy Ste 320, Birmingham, AL 35243-3404 | 2006-06-23 |
| 1871133660 | James Brock | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2020-01-09 |
| 1164071734 | James M Brock | Peer Specialist | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-09-06 |
| 1427613520 | James Brock | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2019-05-03 |
| 1427520493 | James Albert Brock IIi | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2019-01-01 |
| 1801306022 | James Richard Brock | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2017-10-02 |
| 1871859611 | James Philip Brock | Pediatrics | 2801 Atlantic Ave, Peds Pulmonary, Long Beach, CA 90806 | 2012-04-05 |
| 1073742607 | James Benjamin Brock | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-02 |
| Street Address |
DOUGHERTY COUNSELING CENTER 1919 STATE ST., STE. #2 |
| City | NEW ALBANY |
| State | IN |
| Zip Code | 47150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396385050 | Essential Pediatrics | Physical Therapist | 1614 Slate Run Road, New Albany, IN 47150 | 2020-01-10 |
| 1871075234 | Katie Lyn Vincent | Speech-Language Pathologist | 845 Park Place, New Albany, IN 47150 | 2018-09-02 |
| 1326528811 | Donna Casey Laduke | Respiratory Therapist, Registered | Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 | 2018-08-15 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1104315902 | Whitney Nicole Malloy | Physician Assistant | 2108 State Street, New Albany, IN 47150 | 2018-05-07 |
| 1942728472 | Cleanse Clinic Jeffersonville LLC | Psychiatry & Neurology | 2818 Grant Line Rd Ste 2, New Albany, IN 47150 | 2017-09-05 |
| 1881110765 | Kristy Marie Delaney | Social Worker | 1144 Creekview Circle, New Albany, IN 47150 | 2017-08-22 |
| 1891217030 | Sarah H. Wilson | Physician Assistant | 1919 State St Ste 362, New Albany, IN 47150 | 2017-07-10 |
| 1861939290 | Lauren Brenneman Pollock | Audiologist | 3211 Grant Line Rd St. #37, New Albany, IN 47150 | 2017-01-24 |
| 1861850414 | Kiley Madaleno | Speech-Language Pathologist | 4915 Charlestown Road, New Albany, IN 47150 | 2016-02-10 |
| Find all providers in zip 47150 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972453 | Kayla Elizabeth Willoughby | Social Worker | 3902 Muirfield Dr, New Albany, IN 47150-3576 | 2019-03-21 |
| 1003307232 | Shelby Paige Buffin | Social Worker | 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 | 2018-05-23 |
| 1033545421 | Erin Kelly Emington White | Social Worker | 1218 E Oak St, New Albany, IN 47150-3070 | 2013-09-18 |
| 1770809352 | Meara W Grannan | Social Worker | 2676 Charlestown Rd Ste 9, New Albany, IN 47150-2574 | 2010-04-08 |
| 1740332204 | Amy Jo Lindsey | Social Worker | 2676 Charlestown Road, Suite 9, New Albany, IN 47150 | 2007-01-17 |
| 1427150044 | Connie J Richter | Social Worker | 4925 Charlestown Rd, New Albany, IN 47150-9426 | 2006-09-03 |
| 1528171055 | Stacie Rost | Social Worker | 1917 Bono Rd, New Albany, IN 47150-4607 | 2006-08-17 |
| 1477559334 | Wendy I Willis | Social Worker | 229 W Spring St, New Albany, IN 47150-3641 | 2005-06-24 |
| 1487261996 | Kibibi Lateef Wood-montgomery | Social Worker | 2820 Grant Line Rd # 10, New Albany, IN 47150-2494 | 2020-09-29 |
| 1952957060 | Lauren Elyse Bayens | Social Worker | 2820 Grant Line Rd, New Albany, IN 47150-2494 | 2019-08-14 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 47150 |
Please comment or provide details below to improve the information on DR. JAMES VAUGHN BROCK JR..
| 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.