KRISTIN WAKEFIELD (NPI# 1811392152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811392152 |
| Entity Type | Individual |
| Full Name | KRISTIN WAKEFIELD |
| Credential | LICSW |
| Practice Address |
1528 Peachtree Ln Nw Ste 104 Cullman AL 35058-0422 |
| Practice Telephone | 2566864441 |
| Practice Fax Number | 2566864443 |
| Mailing Telephone | 2567358152 |
| Mailing Fax Number | 8882554996 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3694C | AL | Behavioral Health & Social Service Providers |
| Street Address |
1528 PEACHTREE LN NW STE 104 |
| City | CULLMAN |
| State | AL |
| Zip Code | 35058-0422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366806325 | Restoration Counseling Services | Social Worker | 1528 Peachtree Ln Nw Ste 104, Cullman, AL 35058-0422 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659906980 | Paige Makenzie Schnittker | Nurse Practitioner | 1958 Al-157, Cullman, AL 35058 | 2020-03-06 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| 1174095681 | Rizzianne Pineda Miller | Nurse Anesthetist, Certified Registered | 1912 Al-157, Cullman, AL 35058 | 2018-12-21 |
| 1669974135 | Cullman Regional Medical Center, Inc. | Clinic/Center | 1958 Al Hwy 157, Cullman, AL 35058 | 2018-03-01 |
| 1346683125 | Teri L Mobley | Nurse Practitioner | 2021 Alabama Hwy 157, Cullman, AL 35058 | 2013-04-11 |
| 1811229891 | Affordable Family Dentistry P.C. | Dentist | 1096 Country Road 1579, Cullmar, AL 35058 | 2010-02-02 |
| 1548409873 | Birmingham Radiological Group, PC | Clinic/Center | 1809 Dahlke Drive Ne, Cullman, AL 35058 | 2009-02-10 |
| 1235212390 | Carmen Duke Moss | Dentist | 18708 Us Hwy 31 N, Cullman, AL 35058 | 2006-10-23 |
| 1174624282 | Vincent Thomas Karolewics | Radiology | 1811 Parkway Cir, Cullman, AL 35058 | 2006-09-25 |
| 1205937315 | Cullman Radiation Therapy Services, P.C. | Radiology | 1811 Park Way Cir, Cullman, AL 35058 | 2006-09-25 |
| Find all providers in zip 35058 | ||||
| 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 |
|---|---|---|---|---|
| 1104303387 | Katherine Kirkpatrick List | Social Worker | 1910 Cherokee Ave Sw Ste A, Cullman, AL 35055-5502 | 2018-07-20 |
| 1780628651 | Susan Goggins | Social Worker | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2006-06-15 |
| 1669459202 | Ludmilla V. Stevens | Social Worker | 502 3rd St Se, Cullman, AL 35055-3627 | 2005-12-25 |
| 1366806325 | Restoration Counseling Services | Social Worker | 1528 Peachtree Ln Nw Ste 104, Cullman, AL 35058-0422 | 2016-04-06 |
| 1841623352 | Rachel Mae Long | Social Worker | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2013-08-20 |
| 1376898759 | Cinthia Karr Mcneill | Social Worker | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2012-07-20 |
| 1053687939 | Virginia Dempsey | Social Worker | 1807 Beech Ave Se, Cullman, AL 35055-5462 | 2012-03-26 |
| 1629390737 | Tonya C Agan | Social Worker | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2010-02-17 |
| 1538317490 | Philip C Mongan | Social Worker | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2008-09-04 |
| 1205000759 | Gloria P Lott | Social Worker | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2008-04-16 |
| Find all providers in CULLMAN | ||||
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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.