CCC THERAPY CENTER LLC (NPI# 1811486723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811486723 |
| Entity Type | Organization |
| Organization Name | CCC THERAPY CENTER LLC |
| Practice Address |
5135 E Polk Rd Lexington IN 47138-8863 |
| Practice Telephone | 8128209643 |
| Mailing Telephone | 8128209643 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2020-01-17 |
| Authorized Official Name | ALISA R COX (DIRECTOR/THERAPIST) |
| Authorized Official Telephone | 8128209643 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34007858A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300031901 | 05 |
| Street Address |
5135 E POLK RD |
| City | LEXINGTON |
| State | IN |
| Zip Code | 47138-8863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535675 | Alisa Rae Cox | Social Worker | 5135 E Polk Rd, Lexington, IN 47138-8863 | 2018-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770064966 | Elizabeth Webber | Developmental Therapist | 11888 W Polk Rd, Lexington, IN 47138-6843 | 2018-08-24 |
| 1073612073 | David William Lipke | Anesthesiology | 10558 W Polk Rd, Lexington, IN 47138-7013 | 2006-09-22 |
| 1285727578 | Donald Morris Bridges | Nurse Anesthetist, Certified Registered | 2344 S 1000, Lexington, IN 47138-7163 | 2006-10-02 |
| 1891279402 | Paula D. Stoner | Developmental Therapist | 8624 W State Road 356, Lexington, IN 47138-7616 | 2018-09-19 |
| 1356671192 | Sequel Tsi of Indiana, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2426 S Parker Ln, Lexington, IN 47138-8561 | 2009-12-29 |
| 1023616125 | Kimberly Dawn Calloway | Nurse Practitioner | 5306 E Blocher Rd, Lexington, IN 47138-8803 | 2020-10-12 |
| 1497314231 | Heather K. M. Crites | Nurse Practitioner | 422 N Napper Rd, Lexington, IN 47138-8880 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861339 | Lexington Dental Group LLC | Dentist | 35 Bedford St Ste 110, Lexington, MA 02420-4320 | 2020-11-06 |
| 1780285742 | Ivan William Miller Jr. | Technician | 241 Silvercrest Dr, Lexington, OH 44904-9364 | 2020-11-05 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1831790013 | Jennifer Waterman | Behavior Technician | 333 W Butler St, Lexington, SC 29072-2605 | 2020-11-04 |
| 1497356521 | Kimberly Meier | Audiologist | 1000 Falcon Wood Way, Lexington, KY 40511-9089 | 2020-11-04 |
| 1164023271 | Elizabeth Roth | Chiropractor | 3650 Boston Rd Ste 188, Lexington, KY 40514-1502 | 2020-11-04 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1063013571 | Andrew William Peters | Pharmacist | 301 Castor Rd Apt 104, Lexington, OH 44904-8745 | 2020-11-03 |
| 1770184368 | Shawn D Myers | Private Vehicle | 256 Otterbein Dr Apt E, Lexington, OH 44904-1053 | 2020-11-02 |
| 1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
| Find all providers in LEXINGTON | ||||
| 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 |
|---|---|---|---|---|
| 1154929362 | Linda Flynn Lengal | Social Worker | 3600 Winthrop Dr Apt 9211, Lexington, KY 40514-1871 | 2020-10-12 |
| 1689283202 | Jenny K Delap | Social Worker | 202 E Vista St, Lexington, KY 40503-1327 | 2020-07-29 |
| 1487279204 | Open Doors of Hope | Social Worker | 736 Burgess Ave, Lexington, KY 40511-1571 | 2020-06-09 |
| 1346861911 | Crossroads Behavioral Health, Inc. | Social Worker | 409 W New Circle Rd, Lexington, KY 40511-1832 | 2020-05-05 |
| 1033739446 | Emma Simone Rava | Social Worker | 205 Hickory Hill Rd, Lexington, SC 29072-9344 | 2020-04-26 |
| 1790305738 | Kimberly Ann Cook-lee | Social Worker | 342 Waller Ave Ste 1d, Lexington, KY 40504-2922 | 2020-04-20 |
| 1477172054 | Evolve Counseling, LLC | Social Worker | 80 Codell Dr Ste 220, Lexington, KY 40509-1178 | 2020-04-13 |
| 1689213761 | Justin Waldo | Social Worker | Lexington Va Medical Center, 1101 Veteran's Drive, Lexington, KY 40502 | 2020-01-06 |
| 1467091744 | We Support Seniors, L.L.C. | Social Worker | 56 Mentelle Park, Lexington, KY 40502-1512 | 2020-01-03 |
| 1619513405 | Wallace E. Bellis | Social Worker | 138 Leader Ave Ste 129d, Lexington, KY 40508-3215 | 2019-11-27 |
| Find all providers in LEXINGTON | ||||
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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.