NICOLE MANK (NPI# 1851838635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851838635 |
Entity Type | Individual |
Full Name | NICOLE MANK |
Other Name | NICOLE BARBOUR |
Credential | LCSW |
Practice Address |
398 Hinks Rd Jefferson ME 04348-4012 |
Practice Telephone | 2075570395 |
Mailing Telephone | 2075570395 |
Enumeration Date | 2017-01-31 |
Last Update Date | 2019-09-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | MC16510 | ME | Behavioral Health & Social Service Providers |
Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC17825 | ME | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NPI | 1851838635 | 01 |
Street Address |
398 HINKS RD |
City | JEFFERSON |
State | ME |
Zip Code | 04348-4012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437387123 | Geoffrey Basinet | In Home Supportive Care | 577 Rockland Road, Somerville, ME 04348 | 2009-07-01 |
1861620619 | Shirley Sylvester Carmichael | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 88 Rockland Road, Jefferson, ME 04348 | 2009-06-30 |
1144397480 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 99 North Mountain Rd, Jefferson, ME 04348 | 2006-11-30 |
1285963066 | Lynne K Sedgwick | Speech-Language Pathologist | 57 Provost Rd., Jefferson, ME 04348-0955 | 2009-12-08 |
1689976300 | Penny Kochakian | Home Health Aide | 649 Patricktown Rd, Somerville, ME 04348-3035 | 2010-12-01 |
1477882447 | Deborah S Myers | Specialist | 15 Jones Rd, Somerville, ME 04348-3312 | 2009-12-21 |
1609077338 | Eldercare Network of Lincoln County | Assisted Living Facility | 77 Waldoboro Rd, Jefferson, ME 04348-3875 | 2007-05-30 |
1730557372 | Applied Wellness LLC | Community/Behavioral Health | 168 Waldoboro Rd, Jefferson, ME 04348-3922 | 2015-09-14 |
1235469388 | Kristen Lombard | Registered Nurse | 329 Jones Rd, Jefferson, ME 04348-4016 | 2010-01-12 |
1124210406 | Daniel A. Lander | Chiropractor | 583 Augusta Rd, Jefferson, ME 04348-4038 | 2007-08-10 |
Find all providers in zip 04348 |
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] |
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1962027425 | Melody Johnson | Social Worker | 2401 Audubon Trce, Jefferson, LA 70121-1554 | 2020-06-10 |
1669942892 | Michelle Ann Taylor | Social Worker | Breakthrough Counseling Services, 4014 Mountville Road, Jefferson, MD 21755-7713 | 2018-11-30 |
1538636899 | Asia Brumfield Thaggard | Social Worker | 1514 Jefferson Hwy # 347, Jefferson, LA 70121-2429 | 2018-10-25 |
1639692007 | Kayla Paul Wiggins | Social Worker | 39 Sherling Ave, Jefferson, LA 70121-2225 | 2017-07-18 |
1952850356 | Complete Health Solutions, Inc. | Social Worker | 36 S Public Sq, Jefferson, GA 30549-1569 | 2016-09-26 |
1972957793 | Anthony Archie | Social Worker | 565 Central Ave Apt 114, Jefferson, LA 70121-1406 | 2016-04-18 |
1013377852 | Lydie Mary Phillips | Social Worker | 229 Jules Ave, Jefferson, LA 70121-2820 | 2016-03-04 |
1447610878 | Jessica Foreman | Social Worker | 3821 Williams Pl, Jefferson, LA 70121-1623 | 2016-02-26 |
1750777256 | Carol Fontenot | Social Worker | 3324 Audubon Trce, Jefferson, LA 70121-1588 | 2015-04-10 |
1629318076 | Kathryn H Gaipo | Social Worker | 11 Buckingham Rd, Jefferson, MA 01522-1519 | 2013-02-21 |
Find all providers in JEFFERSON |
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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.