KERI SMITH GAYLORD (NPI# 1831590165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831590165 |
| Entity Type | Individual |
| Full Name | KERI SMITH GAYLORD |
| Credential | LCSW |
| Practice Address |
624 W Main St Yadkinville NC 27055-7804 |
| Mailing Address |
2000 Walnut Crossing Run Yadkinville NC 27055-8081 |
| Practice Telephone | 3368497890 |
| Practice Fax Number | 3368497891 |
| Mailing Telephone | 9048875911 |
| Mailing Fax Number | 3368497891 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C009817 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LICENSE | #P009058 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2554 Lewisville Clemmons Rd Ste 303, Clemmons, NC 270128749 | 3368497890 | 3368497891 |
| 617 S Green St, Suite 300, Morganton, NC 286553517 | 8284373000 | 8284374999 |
| 6614 Shallowford Rd Ste 200, Lewisville, NC 270239304 | 3368497890 | 3368497891 |
| Street Address |
624 W MAIN ST |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-7804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142775 | Aegis Family Health Centers Inc | Family Medicine | 624 W Main St, Yadkinville, NC 27055-7804 | 2005-08-23 |
| 1649656257 | James Mcgrath Md, Pllc | General Practice | 624 W Main St, Yadkinville, NC 27055-7804 | 2015-08-05 |
| 1730524752 | Cornerstone Health Care Pa | Internal Medicine | 624 W Main St, Yadkinville, NC 27055-7804 | 2013-05-03 |
| 1164716155 | Davis Urology, Pa | Urology | 624 W Main St, Yadkinville, NC 27055-7804 | 2011-06-07 |
| 1255659512 | Cah Acquisition Company 10 LLC | Family Medicine | 624 W Main St, Yadkinville, NC 27055-7804 | 2010-05-12 |
| 1174841431 | Cah Acquisition Company 10 LLC | Emergency Medicine | 624 W Main St, Yadkinville, NC 27055-7804 | 2010-05-12 |
| 1356669618 | Cah Acquisition Company 10 LLC | Medicare Defined Swing Bed Unit | 624 W Main St, Yadkinville, NC 27055-7804 | 2010-05-12 |
| 1003134883 | Cah Acquisition Company 10 LLC | General Acute Care Hospital | 624 W Main St, Yadkinville, NC 27055-7804 | 2010-05-04 |
| 1932335338 | Jonathan Orton | General Practice | 624 W Main St, Yadkinville, NC 27055-7804 | 2009-06-01 |
| 1780853937 | Hoots Memorial Hospital Inc | Family Medicine | 624 W Main St, Yadkinville, NC 27055-7804 | 2008-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| 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 |
|---|---|---|---|---|
| 1295177228 | Courtney Guido | Social Worker | 624 W Main Strret, Yadkinville, NC 27055-3006 | 2013-07-18 |
| 1225208713 | Lynn Strole Ccsw Lcsw | Social Worker | 2517 Caudle Mill Rd, Yadkinville, NC 27055-5109 | 2008-03-11 |
| 1699793976 | Sandra E Connor | Social Worker | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2006-07-17 |
| 1770501058 | Harriet Diane Jenkins | Social Worker | 110 West Elm Street, Yadkinville, NC 27055-3313 | 2006-07-17 |
| 1245288828 | Amber Glasco Dillard | Social Worker | 714 Carolina Ave Ste A, Yadkinville, NC 27055-7760 | 2006-05-05 |
| 1487957783 | Amy D. Foster | Social Worker | 624 West Main Street, Yadkinville, NC 27055 | 2010-12-09 |
| 1073843983 | Nina Kaye Hightower | Social Worker | 403 E Main St, Yadkinville, NC 27055-8134 | 2009-12-29 |
| 1821116518 | Jonathan Duane Gaskins | Social Worker | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
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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.