DIVORCE RECOVERY CENTER OF NORTHWEST INDIANA LLC (NPI# 1881163806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881163806 |
| Entity Type | Organization |
| Organization Name | DIVORCE RECOVERY CENTER OF NORTHWEST INDIANA LLC |
| Other Organization Name | DIVORCE RECOVERY CENTER |
| Practice Address |
2612 W Lincoln Hwy Merrillville IN 46410-5235 |
| Practice Telephone | 2194842143 |
| Practice Fax Number | 2194842143 |
| Mailing Telephone | 2194842143 |
| Mailing Fax Number | 2194842143 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2020-06-11 |
| Authorized Official Name | MRS. ANGELINE RAE SCHULLER (OWNER) |
| Authorized Official Telephone | 2194842143 |
| Authorized Official Credential | MSW, 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 |
| Other Name | Type Code |
|---|---|
| Divorce Recovery Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2005 Valparaiso St Ste 107, Valparaiso, IN 463833330 | 2194842143 | 2194842143 |
| 2624 W Lincoln Hwy, Merrillville, IN 464105235 | 2194842143 | 2194842143 |
| Street Address |
2612 W LINCOLN HWY |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| 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 |
|---|---|---|---|---|
| 1053910497 | Ellen Minter | Social Worker | 7108 Broadway Apt 1a, Merrillville, IN 46410-3469 | 2020-10-17 |
| 1891317442 | Lauren Stewart | Social Worker | 1948 W 85th Ave Apt K304, Merrillville, IN 46410-8488 | 2020-05-16 |
| 1891328472 | Brian Dilosa Sr. | Social Worker | 1205 W Lincoln Hwy Ste 3, Merrillville, IN 46410-5336 | 2020-02-21 |
| 1902437486 | Tai Hesia Crayton | Social Worker | 5401 Broadway Ste F, Merrillville, IN 46410-1684 | 2020-02-03 |
| 1821644105 | Angela Marie Krumrie | Social Worker | 7870 Broadway Ste H, Merrillville, IN 46410-5542 | 2019-08-13 |
| 1275050551 | Veronica Zrnchik | Social Worker | 4100 W 73rd Ave, Merrillville, IN 46410-4206 | 2017-08-28 |
| 1992256390 | Mandy Smith | Social Worker | 1250 W Lincoln Hwy, Suite 5, Merrillville, IN 46410 | 2016-10-20 |
| 1629449376 | Tanya Burns | Social Worker | 6859 Whitcomb St, Merrillville, IN 46410-3397 | 2015-10-07 |
| 1790151272 | Amy Mcconnell | Social Worker | 3930 W 78th Ct, Apt 10, Merrillville, IN 46410-8704 | 2015-08-19 |
| 1265874341 | Melissa N Haselby | Social Worker | 410 E 86th Ave, Merrillville, IN 46410-6211 | 2013-07-18 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
Please comment or provide details below to improve the information on DIVORCE RECOVERY CENTER OF NORTHWEST INDIANA LLC.
| 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.