CHRYSALIS HEALTH SERVICES P.C. (NPI# 1780975375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780975375 |
| Entity Type | Organization |
| Organization Name | CHRYSALIS HEALTH SERVICES P.C. |
| Practice Address |
3033 N Walnut Ave West Building, 2nd Floor (miraworx) Oklahoma City OK 73105-2832 |
| Mailing Address |
3033 North Walnut Oklahoma City OK 73105 |
| Practice Telephone | 4052301183 |
| Mailing Telephone | 4052301183 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | MR. DAVID NICKELL (THERAPIST/OWNER) |
| Authorized Official Telephone | 4052301183 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3950 | OK | Behavioral Health & Social Service Providers |
| Street Address |
3033 N WALNUT AVE WEST BUILDING, 2ND FLOOR (MIRAWORX) |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-2832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639296023 | Terry Ray Parker | Counselor | 3033 N Walnut Ave, East Building, Oklahoma City, OK 73105-2832 | 2007-03-23 |
| 1780230862 | Carol Renee Vandevoir | Peer Specialist | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2019-08-14 |
| 1073007191 | Steven Michael Resendez | Counselor | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2018-06-21 |
| 1720531114 | Sundris Jamerson | Peer Specialist | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2016-08-02 |
| 1912363417 | Shawna D Ward | Counselor | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2016-01-13 |
| 1285904896 | Catalyst Inc | Community/Behavioral Health | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2012-01-12 |
| 1811293129 | David Earl Romines | Counselor | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2011-02-03 |
| 1306153721 | Carlene Drach | Counselor | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2010-09-07 |
| 1033420997 | Edie Michelle Nayfa | Counselor | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2010-06-25 |
| 1104157593 | Dane Lee Lemmons | Counselor | 3033 N Walnut Ave, Oklahoma City, OK 73105-2832 | 2010-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| 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 |
|---|---|---|---|---|
| 1700411170 | Braden Bowles | Social Worker | 1841 Exchange Ave, Oklahoma City, OK 73108-3022 | 2020-03-06 |
| 1619501061 | Terry Snow | Social Worker | 600 Sw 134th St, Oklahoma City, OK 73170-7307 | 2020-02-25 |
| 1104459395 | Mary Madonna LLC | Social Worker | 5808 Nw 109th St, Oklahoma City, OK 73162-5836 | 2020-02-17 |
| 1811558679 | Sydney Concha | Social Worker | 5131 N Classen Blvd # 110, Oklahoma City, OK 73118-5258 | 2019-06-24 |
| 1609377753 | Shundrika Scott | Social Worker | 620 Nw 120th St, Oklahoma City, OK 73114-8309 | 2018-02-23 |
| 1821597386 | Meditelecare of Oklahoma, LLC | Social Worker | 1833 S Morgan Rd, Oklahoma City, OK 73128-7004 | 2018-02-09 |
| 1134628076 | Karyll V. Honeycutt | Social Worker | 2737 Nw 140th St Apt 903, Oklahoma City, OK 73134-6177 | 2018-02-06 |
| 1417455122 | Natalie Biddinger Haymaker | Social Worker | 2924 Huntleigh Dr, Oklahoma City, OK 73120-2503 | 2018-01-28 |
| 1336654573 | Bright Transitions, LLC | Social Worker | 4416 N Western Ave Ste 201, Oklahoma City, OK 73118-5256 | 2017-12-11 |
| 1427568096 | Jennilee Flores | Social Worker | 5350 S Western Ave Ste 709, Oklahoma City, OK 73109-4537 | 2017-10-09 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
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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.