THOMAS EDWARD KERSHAW (NPI# 1902962228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902962228 |
| Entity Type | Individual |
| Full Name | THOMAS EDWARD KERSHAW |
| Credential | LCSW |
| Practice Address |
3010 Scott Blvd Ste 103 Temple TX 76504-6803 |
| Mailing Address |
Po Box 1108 Temple TX 76503-1108 |
| Practice Telephone | 2547734022 |
| Practice Fax Number | 2547730919 |
| Mailing Telephone | 2547734022 |
| Mailing Fax Number | 2547730919 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
31966 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679067326 | Thomas Kershaw | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Se Ste 238, Washington, DC 20032-4540 | 2018-06-17 |
| Street Address |
3010 SCOTT BLVD STE 103 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-6803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265443147 | Michelle Farrell | Counselor | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2006-08-10 |
| 1306462361 | Jeffrey Jared Chupik | Counselor | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2020-06-24 |
| 1669965687 | Lacy Michelle Theobald | Counselor | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2018-06-13 |
| 1043677735 | Jason Duckworth | Marriage & Family Therapist | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2016-01-26 |
| 1912349945 | Vanessa K Brandt | Counselor | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2013-07-18 |
| 1295086460 | Rebekah Mina Oakley | Psychologist | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2012-09-27 |
| 1730459488 | Ilse Michelle Brindley | Counselor | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2012-01-11 |
| 1548551021 | Chupik Counseling & Consulting Pa | Behavioral Analyst | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2011-05-02 |
| 1033351523 | Susan Hutchinson | Social Worker | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2009-03-30 |
| 1275671174 | Eugenia Rinaldi | Counselor | 3010 Scott Blvd Ste 103, Temple, TX 76504-6803 | 2007-02-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| 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 |
|---|---|---|---|---|
| 1124490396 | Sarah M Drake | Social Worker | 1909 S 13th St, Temple, TX 76504-7371 | 2015-10-27 |
| 1639507361 | Christina Herff | Social Worker | Scott & White Healthcare Ms 01 E524, 2401 S. 31st Street, Temple, TX 76508-0001 | 2013-10-15 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1487954590 | Linda N Dunlap | Social Worker | 104 Oakcreek Dr, Temple, TX 76504-8803 | 2010-10-25 |
| 1598992612 | Ann Chastang | Social Worker | 4414 Cactus Trl, Temple, TX 76502-3241 | 2009-06-16 |
| 1689899213 | Raymond William Kurtz Jr. | Social Worker | 3808 Whispering Oaks, Temple, TX 76504-2102 | 2007-04-17 |
| 1841313186 | Norma Jean Berry | Social Worker | 8920 Trailridge Dr, Temple, TX 76502-5210 | 2007-04-10 |
| 1841313855 | Linda Anne Malsbary | Social Worker | 2235 N Pea Ridge Rd, Temple, TX 76502-4613 | 2007-04-06 |
| 1205989340 | Terri Schroeder | Social Worker | 1318 N 15th St, Temple, TX 76501-1908 | 2007-01-20 |
| 1922193952 | Lucinda Lewellen | Social Worker | 1305 S 33rd St, Temple, TX 76504-6763 | 2006-10-04 |
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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.