JEFFREY THOMAS WYLIE (NPI# 1811505548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811505548 |
| Entity Type | Individual |
| Full Name | JEFFREY THOMAS WYLIE |
| Credential | LCSW |
| Practice Address |
2204 Kentucky Ave Paducah KY 42003-3242 |
| Mailing Address |
121 Byron Dr Paducah KY 42003-0963 |
| Practice Telephone | 2707774490 |
| Practice Fax Number | 8669368428 |
| Mailing Telephone | 2705568715 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
922 | KY | Behavioral Health & Social Service Providers |
| Street Address |
2204 KENTUCKY AVE |
| City | PADUCAH |
| State | KY |
| Zip Code | 42003-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346266442 | Aloha Cristina Romay | Psychologist | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2006-07-14 |
| 1124688890 | Leslie Donner | Psychologist | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2019-06-16 |
| 1972063451 | Jennifer Linville | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2019-03-21 |
| 1447739818 | Scott Brian Long | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2018-08-07 |
| 1629573233 | Theresa Kay Clifton | Social Worker | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2018-03-26 |
| 1629478250 | Compass Counseling, LLC | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2014-09-02 |
| 1649542671 | Lashunda S Jones | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2012-02-07 |
| 1790061166 | Jillian K Terhune | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2011-10-28 |
| 1144512328 | Douglas Dayne Wells | Psychologist | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2011-05-06 |
| 1447573464 | Kathryn White Englert | Counselor | 2204 Kentucky Ave, Paducah, KY 42003-3242 | 2010-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757638 | Wilson Medical Staffing Pllc | Nurse Practitioner | 3130 Lone Oak Rd, Paducah, KY 42003 | 2019-12-13 |
| 1417415993 | Lauren Deanne Mcclain | Nurse Practitioner | 225 Medical Center Dr Ste 205, Paducah, KY 42003 | 2019-03-04 |
| 1871057042 | Brame Psychological Assessment Center | Psychologist | Ray and Kay Eckstein Outreach Center, 435 Berger Rd, Paducah, KY 42003 | 2019-01-22 |
| 1831611219 | Elizabeth Anne Wright | Social Worker | 425 Broadway Street, Paducah, KY 42003 | 2017-07-07 |
| 1558804724 | Kayla Reshea Franklin | Behavior Technician | 2075 Husband Road, Paducah, KY 42003 | 2016-11-21 |
| 1699189308 | Sunrise Children's Services, Inc. | Foster Care Agency | 3565 Lone Oak Rd Ste 2, Paducah, KY 42003 | 2014-06-20 |
| 1326488891 | Alice Ann Higdon Wilham | Surgery | 1532 Lone Oak Rd Ste 235, Paducah, KY 42003 | 2013-06-28 |
| 1881924611 | Meghan Ashley Lee | Nurse Practitioner | 1532 Lone Oak Rd Ste 245, Paducah, KY 42003 | 2009-12-29 |
| 1174771018 | Sleep Source Kentucky, LLC | Clinic/Center | 3125 Parisa Drive, Paducah, KY 42003 | 2008-09-04 |
| 1851547426 | Zandra Bristol Farley | Registered Nurse | 1532 Lone Oak Road Suite 445, Lourdes Marshall Nemer Pavillion, Paducah, KY 42003 | 2008-08-14 |
| Find all providers in zip 42003 | ||||
| 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 |
|---|---|---|---|---|
| 1801429428 | Amanda Raether | Social Worker | 1530 Lone Oak Rd Ste 345, Paducah, KY 42003-7901 | 2020-02-21 |
| 1184012114 | Elizabeth Vaughan | Social Worker | 190 Pecan Ct, Paducah, KY 42001-6728 | 2014-12-29 |
| 1811138548 | Whitney Cassity-caywood | Social Worker | 131 Nahm St Ste 9, Paducah, KY 42001-4362 | 2009-03-09 |
| 1245470673 | Christy Nadyne Hopwood | Social Worker | 2850 Adams St Ste 12, Paducah, KY 42001-4110 | 2009-02-25 |
| 1144467150 | Deloris L Beyreis | Social Worker | 3227 Coleman Rd, Paducah, KY 42001-6563 | 2009-01-13 |
| 1689823270 | Kimberlee Denise Giltner | Social Worker | 234 Berger Rd, Paducah, KY 42003-4522 | 2008-09-18 |
| 1750405825 | Jerri Lynn Dunn | Social Worker | 425 Broadway St Ste 201, Paducah, KY 42001-0713 | 2007-03-16 |
| 1780747774 | Kimberly G Wenzsherrill | Social Worker | 329 Madison St, Paducah, KY 42001-0765 | 2006-12-19 |
| 1023003985 | Barbara Jane Smalley | Social Worker | 131 Nahm St, Suite 9, Paducah, KY 42001-4362 | 2005-09-16 |
| 1841816428 | Breanne Ashby | Social Worker | 425 Broadway St, Paducah, KY 42001-0713 | 2020-06-19 |
| Find all providers in PADUCAH | ||||
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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.