MS. JACQUE LYNN TAGUE (NPI# 1770889354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770889354 |
| Entity Type | Individual |
| Full Name | MS. JACQUE LYNN TAGUE |
| Other Name | MS. JACQUE LYNN TAGUE |
| Credential | LMSW, LAC |
| Practice Address |
555 N Woodlawn St Ste 102 3105 Wichita KS 67208-3671 |
| Practice Telephone | 3166522590 |
| Practice Fax Number | 3166522595 |
| Mailing Telephone | 3166522590 |
| Mailing Fax Number | 3166522595 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2013-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 378 | KS | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | 7528 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200714670A | 05 |
| Street Address |
555 N WOODLAWN ST STE 102 3105 |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921699 | Garry L Porter | Psychiatry & Neurology | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2005-06-13 |
| 1144768128 | Cara Keller | Counselor | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2017-02-09 |
| 1982035036 | Rhonda Ashley-helm | Counselor | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2013-11-27 |
| 1447513015 | Connie S Bucy | Counselor | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2012-06-19 |
| 1821248535 | Mary Catherine Jones | Counselor | 555 N Woodlawn St Ste 102, Suite 102, Wichita, KS 67208-3671 | 2008-09-30 |
| 1811158116 | Angela Watson | Social Worker | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2008-06-19 |
| 1740309814 | Andrew R Bennett | Marriage & Family Therapist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2007-03-28 |
| 1538287511 | Elissa Dawn Moore | Marriage & Family Therapist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2007-03-27 |
| 1043232317 | Gail G Routsong | Social Worker | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2006-07-24 |
| 1285682252 | Terry A Anderson | Clinical Nurse Specialist | 555 N Woodlawn St Ste 102, Wichita, KS 67208-3671 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| 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 |
|---|---|---|---|---|
| 1093313983 | Mary Carol Ward | Social Worker | 333 E English St, Wichita, KS 67202-4320 | 2020-10-13 |
| 1992318729 | Meaghan Ann Mackey | Social Worker | 3725 W Angel St, Wichita, KS 67217-7029 | 2020-08-31 |
| 1184248619 | Shawn M Dixon | Social Worker | 322 S Laura Ave, Wichita, KS 67211-1517 | 2020-06-01 |
| 1609425735 | Davon J Anderson | Social Worker | 2549 S Lori St, Wichita, KS 67210-1914 | 2019-09-11 |
| 1750844163 | Rachel Lynn Thomas | Social Worker | 5414 S Market St, Wichita, KS 67216-4901 | 2019-04-11 |
| 1972064418 | Lisa Marie Harrison | Social Worker | 2922 N Spring Meadow Ct, Wichita, KS 67205-1659 | 2019-03-27 |
| 1366910838 | Taryn Jewell Zweygardt | Social Worker | 315 N Hillside St Ste E, Wichita, KS 67214-4915 | 2018-11-02 |
| 1316433972 | Christine Michelle Wagner | Social Worker | 807 N Waco Ave Ste 11, Wichita, KS 67203-3971 | 2018-07-07 |
| 1073021960 | Lisa Michelle Smith | Social Worker | 1501 N Lynnhurst Ave, Wichita, KS 67212-1846 | 2018-01-13 |
| 1770095937 | Rossilyn D Banks | Social Worker | 2305 N Somerset St Apt 201, Wichita, KS 67204-5747 | 2017-10-27 |
| Find all providers in WICHITA | ||||
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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.