RESTORE WELLNESS COUNSELING LLC (NPI# 1871117887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117887 |
| Entity Type | Organization |
| Organization Name | RESTORE WELLNESS COUNSELING LLC |
| Practice Address |
106 North Main Street Decatur IL 62523 |
| Mailing Address |
106 N Main St Decatur IL 62523-1207 |
| Practice Telephone | 7792200441 |
| Mailing Telephone | 7792200441 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | MRS. NICHELE DEANNE HAWBAKER (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 2179720744 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
106 NORTH MAIN STREET |
| City | DECATUR |
| State | IL |
| Zip Code | 62523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548763238 | Community Health Improvement Center | Clinic/Center | 1027 N Water, Decatur, IL 62523 | 2018-03-09 |
| 1093091597 | Leesa K Reed | Social Worker | 151 N. Main St., Heritage Behavioral Health, Decatur, IL 62523 | 2011-10-27 |
| 1407001357 | Pamela Sue Waterman | Counselor | 720 E. Wood St., Decatur, IL 62523 | 2008-11-19 |
| 1639231731 | Heritage Behavioral Health Center Inc. | Clinic/Center | 151 N Main Street, Decatur, IL 62523 | 2006-12-14 |
| 1669561080 | Diane S Pleasant | Counselor | 335 E Wood St Ste B, Decatur, IL 62523 | 2006-10-12 |
| 1376642470 | Gudrun Birgitta Armentrout | Marriage & Family Therapist | 247 West Prairie, Catholics Charities, Decatur, IL 62523 | 2006-09-22 |
| 1275004186 | Stephanie Maurer | Physician Assistant | 320 Central Ave, Decatur, IL 62523 | 2018-12-17 |
| 1174049209 | Patricia Shannon | Licensed Practical Nurse | 151 N Main St, Decatur, IL 62523 | 2017-08-21 |
| 1669673620 | Decatur Public School Dist. #61 | Local Education Agency (LEA) | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2007-05-29 |
| 1295246320 | Barbara A Nadler | Speech-Language Pathologist | 101 W Cerro Gordo St, Decatur, IL 62523-1001 | 2017-10-16 |
| Find all providers in zip 62523 | ||||
| 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 |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1750999710 | Torquesia Smith | Social Worker | 3904 N Druid Hills Rd Ste 243, Decatur, GA 30033-3105 | 2020-07-16 |
| 1760002836 | Renee Ann Hall-george | Social Worker | 235 E Ponce De Leon Ave Ste 227, Decatur, GA 30030-3412 | 2020-04-19 |
| 1831721067 | Shelly-anne Johnson | Social Worker | 2205 Green Forrest Dr, Decatur, GA 30032-7165 | 2020-02-05 |
| 1871130096 | Mark Loren Kiefer | Social Worker | 2719 Mount Olive Dr, Decatur, GA 30033-2928 | 2019-12-06 |
| 1639715782 | Nadine Coleen Oldham | Social Worker | 2785 Lawrenceville Hwy Ste 205, Decatur, GA 30033-2515 | 2019-11-25 |
| 1881235133 | Marybeth Ann Peters | Social Worker | 1457 Clairmont Rd, Decatur, GA 30033-5362 | 2019-10-07 |
| 1720635782 | Caitlin Virginia Rattigan | Social Worker | 245 E Trinity Pl Unit 1260, Decatur, GA 30030-3487 | 2019-08-23 |
| 1700448644 | Danna Lipton | Social Worker | 209a Swanton Way Ste 102, Decatur, GA 30030-3271 | 2019-07-01 |
| 1023673647 | Candace E Guthery | Social Worker | 16 Moulton St E, Decatur, AL 35601-2310 | 2019-05-08 |
| Find all providers in DECATUR | ||||
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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.