ELSIE FAROUGH (NPI# 1790253268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790253268 |
Entity Type | Individual |
Full Name | ELSIE FAROUGH |
Practice Address |
2311 S Illinois Ave Carbondale IL 62903-5912 |
Mailing Address |
902 W Main St West Frankfort IL 62896-2210 |
Practice Telephone | 6184576703 |
Mailing Telephone | 6189376483 |
Mailing Fax Number | 6189371440 |
Enumeration Date | 2018-11-02 |
Last Update Date | 2018-11-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.018982 | IL | Behavioral Health & Social Service Providers |
Street Address |
2311 S ILLINOIS AVE |
City | CARBONDALE |
State | IL |
Zip Code | 62903-5912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
1841769064 | Bonnie Bean | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2018-11-16 |
1609344308 | Allison Lence | Registered Nurse | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2018-11-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
1033516950 | Centerstone of Illinois, Inc | Community Based Residential Treatment Facility, Mental Illness | 2411 S Illinois Ave, Carbondale, IL 62903-5913 | 2014-11-20 |
1447804174 | Ayla Schmick | Behavioral Analyst | 2200 S Illinois Ave Apt 15, Carbondale, IL 62903-5964 | 2019-07-31 |
1528680162 | Mitchell Wayne Sanders | Student in an Organized Health Care Education/Training Program | 2350 S Illinois Ave Apt 8b, Carbondale, IL 62903-5977 | 2020-05-16 |
1487262358 | Chloe Lenoir | Behavior Technician | 2310 S Illinois Ave Apt B3, Carbondale, IL 62903-5988 | 2020-07-16 |
1609943091 | Virgil A Beadle | Dentist | #4 Crown Lane, Carbondale, IL 62903-7604 | 2006-11-29 |
1639223464 | James David Wade | Nurse Anesthetist, Certified Registered | 35 Albany Rd Ste C, Carbondale, IL 62903-7605 | 2007-01-22 |
1255333118 | Jai P. Singh | Anesthesiology | 35 Albany Rd, Suite C, Carbondale, IL 62903-7605 | 2005-08-11 |
1033218086 | Jane Kidwell | Counselor | 35 Albany Rd, Suite E, Carbondale, IL 62903-7605 | 2006-09-22 |
Find all providers in zip 62903 |
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 |
---|---|---|---|---|
1598118291 | Junie Kacer | Social Worker | 23 Route 6 Roosevelt Hwy, Carbondale, PA 18407-1461 | 2016-07-18 |
1467824987 | Amanda Sneed | Social Worker | 1257 E Walnut St Ste 1, Carbondale, IL 62901-5003 | 2015-10-23 |
1487075354 | Laura Dreuth | Social Worker | 105 N Tower Rd, Carbondale, IL 62901-1930 | 2013-12-19 |
1598008781 | Shannon Casey Nelson | Social Worker | 802 S Skyline Dr, Carbondale, IL 62901-2406 | 2013-04-05 |
1245240811 | Jennifer L Deloach | Social Worker | 8609 Giant City Rd, Suite F, Carbondale, IL 62902-6238 | 2006-08-08 |
1679552590 | Carolee N Bier | Social Worker | 1110 Cedar Ct, Carbondale, IL 62901-5300 | 2006-01-10 |
1770585416 | John M Boget | Social Worker | 1250 Cedar Ct, Carbondale, IL 62901-5334 | 2005-08-12 |
1306488127 | Patricia Miller | Social Worker | 405 West Jackson, Carbondale, IL 62901 | 2019-10-14 |
1609424399 | Alexis Korbar | Social Worker | 2601 W Main St, Carbondale, IL 62901-1031 | 2019-08-27 |
1679041685 | Kirsten Anne Beyers | Social Worker | 2601 W Main St, Carbondale, IL 62901-1031 | 2018-11-07 |
Find all providers in CARBONDALE |
City | CARBONDALE |
Zip Code | 62903 |
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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.