ABUNDANCE BEHAVIORAL HEALTH SERVICE INC. (NPI# 1891913125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891913125 |
| Entity Type | Organization |
| Organization Name | ABUNDANCE BEHAVIORAL HEALTH SERVICE INC. |
| Practice Address |
524 Cleveland Blvd Ste 230 Caldwell ID 83605-4080 |
| Practice Telephone | 2084551222 |
| Practice Fax Number | 2084552559 |
| Mailing Telephone | 2084551222 |
| Mailing Fax Number | 2084552559 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-06-04 |
| Authorized Official Name | MS. BEVERLY PHILLIPS (OWNER DIRECTOR) |
| Authorized Official Telephone | 2084551222 |
| Authorized Official Credential | LSW I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | ZC217184C | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659590727 | Abundance Behavioral Health Service Inc. | Case Management | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2007-04-25 |
| Street Address |
524 CLEVELAND BLVD STE 230 |
| City | CALDWELL |
| State | ID |
| Zip Code | 83605-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115877 | Donald Schultze | Social Worker | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4076 | 2019-10-09 |
| 1497397723 | Serenity Wellness, LLC | Counselor | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4076 | 2019-10-08 |
| 1255813044 | Aaron Elias St.george | Counselor | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2018-08-29 |
| 1275967895 | Michael John Scovill | Counselor | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2013-08-30 |
| 1861836082 | Shirlynn Maddox | Social Worker | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2013-04-18 |
| 1902122633 | Mary Linda Thomas | Social Worker | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2010-04-20 |
| 1669795308 | Abundance Behavioral Health Service, Inc | Community/Behavioral Health | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2010-03-09 |
| 1659590727 | Abundance Behavioral Health Service Inc. | Case Management | 524 Cleveland Blvd Ste 230, Caldwell, ID 83605-4080 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585660 | Laurie Bernstein | Occupational Therapist | 2205 Sunset Avenue, Caldwell, ID 83605 | 2020-07-06 |
| 1881249316 | Elevate Academy | Local Education Agency (LEA) | 114 W. Chicago St., Caldwell, ID 83605 | 2019-08-01 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1164910824 | Michelle Stoddard | Physician Assistant | 315 E Elm St Ste 200, Caldwell, ID 83605 | 2018-04-27 |
| 1215430483 | Amy E Rudolf | Pharmacist | 315 E Elm St Ste 150, Caldwell, ID 83605 | 2018-03-14 |
| 1871044883 | Kool Ridez LLC | Case Management | 1803 Ellis Ave., Caldwell, ID 83605 | 2016-10-14 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1609237742 | Peggy A Mcfarland | Counselor | 534 Cleveland Suite 230, Caldwell, ID 83605 | 2016-03-17 |
| 1720468101 | Devin Douglas Dredge | Emergency Medicine | 1717 Arlington Ave Dept Of, Caldwell, ID 83605 | 2015-06-01 |
| 1578950168 | Trinidad Bridge | Licensed Practical Nurse | 2909 S. 10th Avenue, Caldwell, ID 83605 | 2015-04-21 |
| Find all providers in zip 83605 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568078681 | Tammy Law | Social Worker | 314 Badiola St # T, Caldwell, ID 83605-4389 | 2020-09-23 |
| 1578049185 | Heather Layne Dolman | Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | 2018-07-17 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1932550795 | Chris Torgerson | Social Worker | 3402 Franklin Blvd, Caldwell, ID 83605 | 2016-06-23 |
| 1053794552 | Richard D Hammond | Social Worker | 14885 Eagle Dr, Caldwell, ID 83607-7681 | 2015-07-01 |
| 1467899930 | Carolyn Anderson | Social Worker | 2609 S 10th Ave, Caldwell, ID 83605 | 2013-05-24 |
| 1568743359 | Yolanda Amber Ponder | Social Worker | 1522 Dearborn St, Caldwell, ID 83605-4237 | 2011-09-07 |
| 1760098982 | Jamie Michel | Social Worker | 275 Bloomfield Ave Ste 4, Caldwell, NJ 07006-5100 | 2020-09-22 |
| 1477162907 | Leticia Soto | Social Worker | 3402 Franklin Rd, Caldwell, ID 83605-6932 | 2020-07-30 |
| 1487263190 | Nicole Jolene Proctor | Social Worker | 709 Dearborn St, Caldwell, ID 83605-4116 | 2020-07-28 |
| Find all providers in CALDWELL | ||||
Please comment or provide details below to improve the information on ABUNDANCE BEHAVIORAL HEALTH SERVICE INC..
| 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.