TEDDY JOE SHRYOCK (NPI# 1821358367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821358367 |
| Entity Type | Individual |
| Full Name | TEDDY JOE SHRYOCK |
| Credential | LCSW |
| Practice Address |
1211 Porter Wagoner Blvd # 23 West Plains MO 65775-1826 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4172576762 |
| Practice Fax Number | 4172575875 |
| Mailing Telephone | 4172576762 |
| Mailing Fax Number | 4172575875 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2014-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2011025534 | MO | Behavioral Health & Social Service Providers |
| Street Address |
1211 PORTER WAGONER BLVD # 23 |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316998115 | Alan B Korbett | Psychiatry & Neurology | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2006-05-15 |
| 1861053332 | Tianna Niesen | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2019-06-25 |
| 1205325461 | William Patrick Miller | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2018-05-03 |
| 1013427020 | Alisha Lynn Gates | Counselor | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2017-10-04 |
| 1932638954 | Rochelle R Smith | Counselor | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2017-06-05 |
| 1417406588 | Lora Lucille Hand | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2016-09-29 |
| 1699220756 | Jenee Lieurance | Nurse Practitioner | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2016-08-18 |
| 1619321643 | Ozarks Medical Center | Psychiatry & Neurology | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2016-04-15 |
| 1427474733 | Yang Lu | Social Worker | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2014-03-11 |
| 1275898165 | Dominica D Kiefer | Counselor | 1211 Porter Wagoner Blvd # 23, West Plains, MO 65775-1826 | 2012-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| 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 |
|---|---|---|---|---|
| 1154735280 | Angela Toomey | Social Worker | 1211 Porter Wagoner Blvd Ste 23, West Plains, MO 65775-1826 | 2014-06-17 |
| 1760789283 | Sharon D. Head | Social Worker | 1137 Independence Dr., West Plains, MO 65775-4221 | 2011-02-18 |
| 1043416522 | Carolyn Elizabeth Turner | Social Worker | 1559 Imperial Ctr, West Plains, MO 65775-1817 | 2007-06-22 |
| 1801098793 | Thomas C Nixon | Social Worker | 1801 E. State Route K, West Plains, MO 65775 | 2007-06-03 |
| 1144383811 | Kathleen Diane Wolf | Social Worker | 2 Court Sq, West Plains, MO 65775-3444 | 2006-12-17 |
| 1851478325 | Roger Wayne Brame | Social Worker | 1801 East Hhy K, West Plains, MO 65775 | 2006-11-01 |
| 1154377422 | Karen Saling | Social Worker | 1211 Porter Wagoner Blvd, West Plains, MO 65775-1826 | 2006-05-26 |
| 1639155104 | Darrell F Mahan | Social Worker | 1115 Independence Dr, West Plains, MO 65775-4221 | 2005-12-16 |
| 1609435015 | Breakthrough Mental Health Services LLC | Social Worker | 203 E Main St, West Plains, MO 65775-3524 | 2019-06-10 |
| 1578087359 | Toni Raee Autrey | Social Worker | 1211 Porter Wagoner Blvd, West Plains, MO 65775-1826 | 2017-08-02 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.