SECOND CHANCE COUNSELING, LLC (NPI# 1922455609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922455609 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE COUNSELING, LLC |
| Practice Address |
719 W Apache St Farmington NM 87401-5512 |
| Practice Telephone | 5054271621 |
| Mailing Telephone | 5054271621 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | ALISHA KATHRYN HAWTHORNE (CEO) |
| Authorized Official Telephone | 5054271621 |
| Authorized Official Credential | LCSW, LADAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5211247 | NM | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
5211247 | NM | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5211247 | NM | Behavioral Health & Social Service Providers |
| Street Address |
719 W APACHE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497268015 | Rk Illango, Md, Inc | Internal Medicine | 719 W Apache St, Farmington, NM 87401-5512 | 2017-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1366041360 | Christine Mullin | Social Worker | 883 Plainville Ave, Farmington, CT 06032-3121 | 2020-10-21 |
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1457979296 | Sarah Howroyd LLC | Social Worker | Sarah Howroyd Lcsw, Suite 313, Farmington, CT 06032-2985 | 2020-07-08 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1558919878 | Pamela L Begay Psychotherapy, LLC | Social Worker | 5101 College Blvd, Farmington, NM 87402-4709 | 2019-08-29 |
| 1750933826 | Anne Christina Di Iorio-fitzpatrick | Social Worker | 33110 Grand River Ave, Farmington, MI 48336-3120 | 2019-07-09 |
| 1780240259 | Karen S. Ferrell, LLC | Social Worker | 114 E Columbia St # B11, Farmington, MO 63640-3103 | 2019-05-10 |
| 1326517061 | Karen Sue Ferrell | Social Worker | 114 E Columbia St Ste B11, Farmington, MO 63640-3103 | 2018-11-23 |
| 1295235596 | Amber Perez | Social Worker | 20 Batterson Park Rd Ste 300, Farmington, CT 06032-4500 | 2018-02-14 |
| 1982128138 | Renee Lachance George | Social Worker | Uconn Health Center Iop 263 Farmington, Farmington, CT 06030-0001 | 2017-07-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.