KELLY ANN NORTH (NPI# 1760783856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760783856 |
| Entity Type | Individual |
| Full Name | KELLY ANN NORTH |
| Credential | LCSW |
| Practice Address |
1541 Annex Rd Jefferson WI 53549-9803 |
| Practice Telephone | 9206748196 |
| Practice Fax Number | 9206746113 |
| Mailing Telephone | 9206748196 |
| Mailing Fax Number | 9206746113 |
| Enumeration Date | 2010-11-05 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8042-123 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013400019 | Kelly North | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2018-06-13 |
| 1821177130 | Kelly Marie North | Physician Assistant | 260 Township Blvd, Ste 20, Camillus, NY 13031-1678 | 2006-11-06 |
| Street Address |
1541 ANNEX RD |
| City | JEFFERSON |
| State | WI |
| Zip Code | 53549-9803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562286 | Jefferson County | Clinic/Center | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2005-07-15 |
| 1619584844 | Sean Arient | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-10-01 |
| 1780290163 | Cassie A Hohlstein | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-09-21 |
| 1770198988 | Gwendolyn J Olson | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-09-14 |
| 1366057242 | Shelly Marie Theder | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-09-09 |
| 1619580578 | Kassie Kluge | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-08-28 |
| 1770101008 | Kenneth William Strege | Community Health Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-13 |
| 1023636313 | Bao Yang | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-13 |
| 1124646757 | Laura Ann Bambrough | Social Worker | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-09 |
| 1467070086 | Maureen Browning | Case Manager/Care Coordinator | 1541 Annex Rd, Jefferson, WI 53549-9803 | 2020-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740804913 | Anna E Warzala | Licensed Practical Nurse | Sunset Ridge Jefferson, 826 E. Reinel Street, Jefferson, Wi 53549, Jefferson, WI 53549 | 2020-06-03 |
| 1023428083 | Mary Beth Breunig | Occupational Therapist | 206 South Taft Avenue, Jefferson, WI 53549 | 2014-04-30 |
| 1841639952 | Debra Lee Schoenike | Licensed Practical Nurse | 610 S Main Street, Jefferson, WI 53549 | 2013-06-21 |
| 1073762191 | Katherine Sue Drechsler | Counselor | 1541 Annex Road, Jefferson, WI 53549 | 2008-09-12 |
| 1497960645 | Family Resources Associates Inc | Counselor | 248 S Wisconsin Drive, Jefferson, WI 53549 | 2007-05-11 |
| 1386707529 | Todd G Goldbeck | Physical Therapist | 1515 Highway 26 South, Jefferson, WI 53549 | 2006-12-19 |
| 1982780813 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Physical Therapist | 222 S Wisconsin Drive, Suite 3, Jefferson, WI 53549 | 2006-10-31 |
| 1033202528 | Marie Ann Maxwell-jones | Occupational Therapist | N3995 Annex Road, Jefferson, WI 53549 | 2006-10-02 |
| 1447216551 | Diane Mary Voelker | Registered Nurse | 224 Connelly D R, Jefferson, WI 53549 | 2006-04-26 |
| 1063477065 | Cynthia Lynn Miller | Registered Nurse | W4949 Streim Lane, Jefferson, WI 53549 | 2006-04-20 |
| Find all providers in zip 53549 | ||||
| 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 |
|---|---|---|---|---|
| 1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
| 1669942892 | Michelle Ann Taylor | Social Worker | Breakthrough Counseling Services, 4014 Mountville Road, Jefferson, MD 21755-7713 | 2018-11-30 |
| 1538636899 | Asia Brumfield Thaggard | Social Worker | 1514 Jefferson Hwy # 347, Jefferson, LA 70121-2429 | 2018-10-25 |
| 1639692007 | Kayla Paul Wiggins | Social Worker | 39 Sherling Ave, Jefferson, LA 70121-2225 | 2017-07-18 |
| 1952850356 | Complete Health Solutions, Inc. | Social Worker | 36 S Public Sq, Jefferson, GA 30549-1569 | 2016-09-26 |
| 1972957793 | Anthony Archie | Social Worker | 565 Central Ave Apt 114, Jefferson, LA 70121-1406 | 2016-04-18 |
| 1013377852 | Lydie Mary Phillips | Social Worker | 229 Jules Ave, Jefferson, LA 70121-2820 | 2016-03-04 |
| 1447610878 | Jessica Foreman | Social Worker | 3821 Williams Pl, Jefferson, LA 70121-1623 | 2016-02-26 |
| 1750777256 | Carol Fontenot | Social Worker | 3324 Audubon Trce, Jefferson, LA 70121-1588 | 2015-04-10 |
| 1629318076 | Kathryn H Gaipo | Social Worker | 11 Buckingham Rd, Jefferson, MA 01522-1519 | 2013-02-21 |
| Find all providers in JEFFERSON | ||||
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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.