MR. DAVID A D'AUTEUIL (NPI# 1912394685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912394685 |
| Entity Type | Individual |
| Full Name | MR. DAVID A D'AUTEUIL |
| Credential | LCSW |
| Practice Address |
2668 Hualapai Mountain Rd Kingman AZ 86401 |
| Mailing Address |
General Delivery Salem OR 97301-9999 |
| Practice Telephone | 9287187300 |
| Mailing Telephone | 9713030135 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149021448 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2668 HUALAPAI MOUNTAIN RD |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770539561 | Prescott Vamc | Clinic/Center | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2006-05-25 |
| 1013382613 | Melissa Faye Durden | Social Worker | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2015-12-08 |
| 1376931212 | Alexis Kaye Stewart | Social Worker | 2668 Hualapai Mountain Rd, Kingman Cboc, Kingman, AZ 86401 | 2014-12-30 |
| 1568863868 | Susan Browning | Registered Nurse | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2014-09-06 |
| 1457751125 | Nathan Rosato | Social Worker | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2014-08-29 |
| 1942610217 | Jolene Cook | Social Worker | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2014-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| 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 |
|---|---|---|---|---|
| 1245581297 | Dorothy Denise Nelson | Social Worker | 964 Gates Ave, Kingman, AZ 86401-4072 | 2012-09-29 |
| 1942448840 | Jeremiah E. Jensen | Social Worker | 1726 Beverly Ave, Kingman Va Cboc, Kingman, AZ 86401 | 2009-01-30 |
| 1194825943 | Bernice Isabel Greene | Social Worker | 1726 E Beverly Ave, Kingman, AZ 86409-3500 | 2006-09-22 |
| 1174511430 | Kenneth L Gaspar | Social Worker | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2005-10-11 |
| 1447247101 | Joseph Carr Stevens | Social Worker | 9323 N Rio Verde Circle, Kingman, AZ 86401 | 2005-09-28 |
| 1225030703 | Shiela Kough | Social Worker | 760 W D Ave, Ste 1, Kingman, KS 67068-1266 | 2005-08-15 |
| 1881059533 | New Counseling & Support Services | Social Worker | 132 W A Ave, Suite 2, Kingman, KS 67068-1305 | 2015-12-23 |
| 1013382613 | Melissa Faye Durden | Social Worker | 2668 Hualapai Mountain Rd, Kingman, AZ 86401-8387 | 2015-12-08 |
| 1376931212 | Alexis Kaye Stewart | Social Worker | 2668 Hualapai Mountain Rd, Kingman Cboc, Kingman, AZ 86401 | 2014-12-30 |
| 1275868952 | Jettie A. Blanton | Social Worker | 3505 Western Ave, Kingman, AZ 86409-3011 | 2009-10-13 |
| Find all providers in KINGMAN | ||||
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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.