THERESA ECONOMOS (NPI# 1942606629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942606629 |
Entity Type | Individual |
Full Name | THERESA ECONOMOS |
Credential | LCSW |
Practice Address |
3637 Old Vineyard Rd Winston Salem NC 27104-4842 |
Practice Telephone | 3367944336 |
Mailing Telephone | 3367944336 |
Enumeration Date | 2014-11-07 |
Last Update Date | 2014-11-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
C007111 | NC | Behavioral Health & Social Service Providers |
Street Address |
3637 OLD VINEYARD RD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27104-4842 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922038082 | Keystone Wsnc, LLC | Psychiatric Residential Treatment Facility | 3637 Old Vineyard Rd, Winston Salem, NC 27104-4842 | 2006-07-04 |
1043869746 | Lisa Maria Waye | Nurse Practitioner | 3637 Old Vineyard Rd, Winston Salem, NC 27104-4842 | 2019-09-05 |
1780817452 | Keystone Wsnc LLC | Psychiatry & Neurology | 3637 Old Vineyard Rd, Winston Salem, NC 27104 | 2009-08-28 |
1922217306 | Gisela Edith Knebl Kohl | Psychiatry & Neurology | 3637 Old Vineyard Rd, Winston Salem, NC 27104-4842 | 2007-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
Find all providers in zip 27104 |
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 |
---|---|---|---|---|
1649884362 | Ranesha Denae Boyd | Social Worker | 2270 Naomi Dr, Winston Salem, NC 27107-4602 | 2020-09-01 |
1326665563 | Kristy Dobbins | Social Worker | 3240 Trenchard Ln, Winston Salem, NC 27127-5927 | 2020-07-04 |
1033731781 | Robert D Worley | Social Worker | 480 Virginia Newell Ln, Winston Salem, NC 27101-4575 | 2020-05-15 |
1659900793 | Peaty Counseling and Consulting, Pllc | Social Worker | 1250 Foxhall Dr, Winston Salem, NC 27106-4436 | 2020-04-01 |
1407482862 | Jaime Wright | Social Worker | 3000 Bethesda Pl Ste 801, Winston Salem, NC 27103-3330 | 2020-03-18 |
1043778210 | Bernice Cook | Social Worker | 2223 Greenway Ave, Winston Salem, NC 27105-5120 | 2019-03-06 |
1285103812 | Kimberley Renee Hunt | Social Worker | 4711 Seminole Ct, Winston Salem, NC 27127-9432 | 2018-11-13 |
1619459864 | Shadae T Williams | Social Worker | 1224 Collegian Ter, Winston Salem, NC 27106-6340 | 2018-09-04 |
1104321017 | Melanie Carol Mccarthy | Social Worker | 1202 Miller St, Winston Salem, NC 27103-4445 | 2018-03-25 |
1417459371 | Awakenings Counseling | Social Worker | 770 Highland Oaks Dr # 100, Winston Salem, NC 27103-7105 | 2018-03-06 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27104 |
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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.