NOBLE CLINIC, LLC (NPI# 1750810933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750810933 |
| Entity Type | Organization |
| Organization Name | NOBLE CLINIC, LLC |
| Practice Address |
1205 Mill Rd Pittsburg KS 66762-7318 |
| Practice Telephone | (620) 338-7282 |
| Practice Fax Number | 6202357101 |
| Mailing Telephone | 6203387282 |
| Mailing Fax Number | 6202357101 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | MR. KENT NOBLE (OWNER) |
| Authorized Official Telephone | 6203387282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
255 | KS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0759 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200442400D | 05 | |
| NPI | 1104036110 | 01 | |
| CAQH | 12368901 | 01 |
| Street Address |
1205 MILL RD |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-7318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| 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 |
|---|---|---|---|---|
| 1861874109 | Tina Lashley | Social Worker | 113 E 3rd St, Pittsburg, KS 66762-4807 | 2015-06-23 |
| 1336488303 | Anna Fellers | Social Worker | 51 Marina Blvd Ste D, Pittsburg, CA 94565-2068 | 2013-02-11 |
| 1922245331 | Demetra Anne Thomas | Social Worker | 430 Railroad Ave Ste 207, Pittsburg, CA 94565-2235 | 2009-01-08 |
| 1336281922 | Nancy Anne Myers | Social Worker | 130 E Leland Rd Ste C, Pittsburg, CA 94565-4954 | 2007-02-12 |
| 1255385290 | Stella Grace Keddie | Social Worker | 37 Mcmurray Road, Suite 102, Pittsburg, PA 15241 | 2006-05-22 |
| 1417921909 | Ellen Foshag | Social Worker | 911 East Centennial, Pittsburg, KS 66762-6601 | 2006-02-14 |
| 1801368469 | Tiffani Amber Swarnes | Social Worker | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2018-12-20 |
| 1598235822 | Changes Counseling and Consulting | Social Worker | 218 Lafayette St, Pittsburg, TX 75686-1630 | 2018-11-29 |
| 1477098333 | Moukdavanh Siackasorn | Social Worker | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2017-01-03 |
| 1770900607 | Jocelyn Parros | Social Worker | 325 Cumberland St, Suite C, Pittsburg, CA 94565-2205 | 2014-03-28 |
| Find all providers in PITTSBURG | ||||
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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.