MARCDALA THOMAS (NPI# 1750681128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750681128 |
| Entity Type | Individual |
| Full Name | MARCDALA THOMAS |
| Credential | LCSW |
| Practice Address |
1239 E Main St Bartow FL 33830-5058 |
| Mailing Address |
Po Box 1559 Bartow FL 33831-1559 |
| Practice Telephone | 8635190575 |
| Practice Fax Number | 8635829251 |
| Mailing Telephone | 8635190575 |
| Mailing Fax Number | 8635829251 |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003063800 | 05 | |
| FL | 017268900 | 05 |
| Street Address |
1239 E MAIN ST |
| City | BARTOW |
| State | FL |
| Zip Code | 33830-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097767 | Peace River Center for Personal Development Inc | Psychiatric Residential Treatment Facility | 1239 E Main St, Bartow, FL 33830 | 2005-07-20 |
| 1821600495 | Jennifer Feliz | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-08-17 |
| 1831715937 | Camila Febres Cordero Ramirez | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-06-24 |
| 1255968509 | Cecilia Silva | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1205463551 | Briana Silveira | Community Health Worker | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-26 |
| 1043846314 | Delois Mitchell | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-19 |
| 1518593185 | Qushawna Hamilton | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-16 |
| 1912532714 | Andrew Fleming | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-12 |
| 1003441841 | Edda Colon Aviles | Case Manager/Care Coordinator | 1239 E Main St, Bartow, FL 33830-5058 | 2020-03-11 |
| 1376177469 | Jessica Desantis | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2020-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667902 | Care 4 All | Family Medicine | 2020 Flamingo Drive, Bartow, FL 33830 | 2019-12-27 |
| 1366911638 | Suhog Project Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 | 2018-11-16 |
| 1851836357 | Danielle Shoemaker | Pharmacist | 395 East Van Fleet Dr, Bartow, FL 33830 | 2016-12-20 |
| 1942681911 | Beatriz Garciaprieto Carmona | Internal Medicine | 2250 Osprey Blvd Ste 102, Bartow, FL 33830 | 2015-06-15 |
| 1538418843 | A Time for Sharing Global Ministries, Inc | Marriage & Family Therapist | 2389 E.f.griffin Road, 2, Bartow, FL 33830 | 2012-08-31 |
| 1235487000 | Evellar Marissa Mcallister | Nurse Practitioner | 1064 N Broadway Ave, Bartow, FL 33830 | 2012-08-27 |
| 1679821813 | Margaret Annette Nelson | Marriage & Family Therapist | 2389 E.f Griffin Road, Bartow, FL 33830 | 2012-08-20 |
| 1003104381 | Rocky Mountain Holdings LLC | Ambulance | 5581 Airport Blvd, Bartow, FL 33830 | 2011-07-20 |
| 1972733913 | Amy Curry | Surgery | 2000 Osprey Blvd Ste 205, Bartow, FL 33830 | 2009-07-24 |
| 1356532204 | Kids First Pediatrics Pa | Pediatrics | 2000 Osprey Blvd S, 107, Bartow, FL 33830 | 2007-08-06 |
| Find all providers in zip 33830 | ||||
| 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 |
|---|---|---|---|---|
| 1396290672 | Simon Shackelford | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2016-08-17 |
| 1386013522 | Amanda Enriquez | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2015-09-17 |
| 1437546553 | Kathy Shepherd | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2015-04-16 |
| 1801206388 | Krystal Boza | Social Worker | 1239 E Main St, Bartow, FL 33830-5058 | 2014-05-06 |
| 1578908158 | Jade T Kish | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2013-05-08 |
| 1528308772 | Ashley Nicole Richards | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2013-02-26 |
| 1558645721 | Mariely Mujica Perez | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2011-10-05 |
| 1881978146 | Eda Dugas | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2011-10-05 |
| 1174801591 | Allison Nicola | Social Worker | 1239 E Main St, Bartow, FL 33830-5058 | 2011-08-02 |
| 1912290255 | Olierti Lantigua | Social Worker | 1255 Brice Blvd, Bartow, FL 33830-6735 | 2011-05-19 |
| Find all providers in BARTOW | ||||
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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.