JACOB MIZELL (NPI# 1790393510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790393510 |
| Entity Type | Individual |
| Full Name | JACOB MIZELL |
| Credential | LMSW |
| Practice Address |
4155 E Harry St Wichita KS 67218-3725 |
| Practice Telephone | 7856569484 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
11684 | KS | Behavioral Health & Social Service Providers |
| Street Address |
4155 E HARRY ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063455525 | Jennifer Voth | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2006-06-13 |
| 1063021871 | Juan Francisco Coy Teni | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2020-07-28 |
| 1780223347 | Jessie Rojas | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-12-31 |
| 1245881044 | Jaymes Michael Stewart | Marriage & Family Therapist | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-09-23 |
| 1578025763 | Michele Hansen | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-04-05 |
| 1538635644 | Jacob Kordonowy | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-10-16 |
| 1164907663 | Christa Gosnell | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-10-01 |
| 1417439233 | Richard Waller | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-08-29 |
| 1902386220 | Valerie Lane Kabutu | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-08-16 |
| 1255835831 | Chris Chamberlain | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| 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 |
|---|---|---|---|---|
| 1124627195 | Cindy K Hearson | Social Worker | 560 N Exposition St Ste B-5, Wichita, KS 67203-5902 | 2020-10-21 |
| 1679126965 | Frances R Waldren | Social Worker | 1028 E 1st St N, Wichita, KS 67214-3903 | 2019-07-17 |
| 1558825695 | Jamaal M Jones | Social Worker | 1005 S Glendale St, Wichita, KS 67218-3203 | 2019-01-23 |
| 1285101311 | Tasha L. Parker LLC | Social Worker | 5517 Plaza Ln, Wichita, KS 67208-4154 | 2018-10-26 |
| 1073004941 | Gloria Hegge | Social Worker | 9415 E Harry St Ste 800, Wichita, KS 67207-5084 | 2018-05-25 |
| 1255838900 | Melanie A Miller Lscsw LLC | Social Worker | 1900 N Amidon Ave Ste 207, Wichita, KS 67203-2140 | 2018-04-10 |
| 1720596240 | Sunheart Holistic, LLC | Social Worker | 200 N Broadway Ave Ste 535, Wichita, KS 67202 | 2018-01-18 |
| 1861911273 | Nicole Renee Fenoglio | Social Worker | 3510 W Central Ave Ste 800, Wichita, KS 67203-4926 | 2017-09-18 |
| 1861922809 | Eloise J Pankratz, Lscsw, LLC | Social Worker | 1143 S Governeour Rd, Wichita, KS 67207-2812 | 2017-06-13 |
| 1629515051 | Cassandra M Hornbaker | Social Worker | 2307 N Vinegate Ct, Wichita, KS 67226-3655 | 2017-01-24 |
| 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.