DALE THORNER (NPI# 1770534323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770534323 |
| Entity Type | Individual |
| Full Name | DALE THORNER |
| Credential | LCSW, MSSW,LADAC |
| Practice Address |
6560 Poplar Ave Jewish Family Service Memphis TN 38138-3656 |
| Practice Telephone | 9017678511 |
| Practice Fax Number | 9017632348 |
| Mailing Telephone | 9017678511 |
| Mailing Fax Number | 9017632348 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LDC0000000517 | TN | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000000492 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN BLUE CROSS/BLUE SHIELD | 4001660 | 01 |
| Street Address |
6560 POPLAR AVE JEWISH FAMILY SERVICE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38138-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104875764 | Jewish Family Service Inc | Social Worker | 6560 Poplar Ave, Suite B, Memphis, TN 38138-3656 | 2006-05-09 |
| 1467555201 | Kimberly Danielle Mcdaniel | Counselor | 6560 Poplar Ave, Memphis, TN 38138-3656 | 2006-09-07 |
| 1396797247 | Carolyn W. Tipton | Social Worker | 6560 Poplar Ave, Jewish Family Service, Memphis, TN 38138-3656 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724327 | Cynthia Farmer | Counselor | 3256 River Valley Ln, Memphis, TN 38119-8091 | 2020-03-05 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1518441971 | Communityconnect | Counselor | 2555 Jeffries Cv, Memphis, TN 38133-5149 | 2018-09-21 |
| 1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
| 1013421130 | Melvin Thomas Norman Jr. | Counselor | 119 Racine St Ste 105, Memphis, TN 38111-2729 | 2017-11-28 |
| 1902327018 | Lawrence Edward Wilson | Counselor | 1548 Poplar Ave, Memphis, TN 38104-2432 | 2017-06-28 |
| 1740731058 | Eurika Showers | Counselor | 4539 Winchester Rd Ste 111, Memphis, TN 38118-5100 | 2016-10-21 |
| 1639629942 | Chelsi Mcknuckles | Counselor | 4539 Winchester Rd, Suite 101, Memphis, TN 38118-5100 | 2016-10-11 |
| 1154871580 | Brenda Lang | Counselor | 2204 Labelle St, Memphis, TN 38114-5461 | 2016-10-10 |
| 1982159315 | Mufid Abdullah | Counselor | 719 Lydgate Rd, Memphis, TN 38116-5418 | 2016-08-15 |
| Find all providers in MEMPHIS | ||||
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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.