JEANNINE BODNER (NPI# 1932443181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932443181 |
| Entity Type | Individual |
| Full Name | JEANNINE BODNER |
| Credential | LCSW |
| Practice Address |
120d S Village Ln Davidson NC 28036 |
| Mailing Address |
120d S Village Ln Davidson NC 28036-8117 |
| Practice Telephone | 7049957686 |
| Mailing Telephone | 7049957686 |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C009794 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 630 Davidson Gateway Dr Ste 150-f, Davidson, NC 280367068 | 7049957686 |
| Street Address |
120D S VILLAGE LN |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| 1558545111 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | Davidson Commons, 431 Peninsula Drive, Davidson, NC 28036 | 2007-12-19 |
| Find all providers in zip 28036 | ||||
| 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 |
|---|---|---|---|---|
| 1902459357 | Belight Holistic Psychotherapy & Wellness, Pllc | Social Worker | 709 Peninsula Dr, Davidson, NC 28036-7200 | 2019-07-24 |
| 1487111506 | Stephanie Dearmin | Social Worker | 15923 Rose Glenn Ln, Davidson, NC 28036-8920 | 2019-02-25 |
| 1255792156 | Jeannine Bodner, Lcsw, Pllc | Social Worker | 120-d South Village Lane, Davidson, NC 28036-8877 | 2016-03-19 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| 1841443884 | Jennifer Overton | Social Worker | 630 Davidson Gateway Dr, Ste 150, Davidson, NC 28036-7068 | 2008-11-03 |
| 1790963049 | Tara Gattis Zollicoffer | Social Worker | 10906 Trout Creek Pl, Davidson, NC 28036-7617 | 2008-02-07 |
| 1194864975 | Southlake Counseling & Consulting | Social Worker | 903 Northeast Dr Ste 201, Davidson, NC 28036-7438 | 2007-02-06 |
| 1457916306 | Clark Counseling, Pllc | Social Worker | 134 Jackson St Ste 201, Davidson, NC 28036-9612 | 2019-05-07 |
| 1942726583 | Caitlin Allison | Social Worker | 107 N Main St, Davidson, NC 28036-9402 | 2017-08-15 |
| 1861863987 | William Taylor Darsey | Social Worker | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2015-10-15 |
| Find all providers in DAVIDSON | ||||
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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.