KAITLIN KING, LLC. (NPI# 1942852488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942852488 |
| Entity Type | Organization |
| Organization Name | KAITLIN KING, LLC. |
| Practice Address |
408 E. Dodds Bloomington IN 47401-4819 |
| Practice Telephone | 8122873616 |
| Mailing Telephone | 8122873616 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | MS. KIANA-MARIE VAUGHN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8123453055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Kaitlin King | Other Name - Individual/Organization |
| Street Address |
408 E. DODDS |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47401-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740765791 | Holly G Carter | Physical Therapist | 3607 Heirloom Dr, Bloomington, IN 47401 | 2018-09-26 |
| 1285116657 | Kimberly D Bergan | Occupational Therapist | 3607 S Heirloom Dr, Bloomington, IN 47401 | 2018-09-03 |
| 1255836813 | Erin Kathleen Sain | Nurse Practitioner | 326 W Woodcrest Drive, Bloomington, IN 47401 | 2018-03-27 |
| 1881104289 | Ev Bloomington Limited Partnership | Assisted Living Facility | 3607 South Heirloom Drive, Bloomington, IN 47401 | 2017-10-11 |
| 1619496536 | Kirsten N Neely | Physical Therapist | 2604 E. Creek's Edge Dr., Bloomington, IN 47401 | 2017-09-12 |
| 1023533908 | Hoosier United Therapy Service LLC | Physical Therapist | 2801 E Plateau Place, Bloomington, IN 47401 | 2017-08-11 |
| 1194127381 | Ann Marie Neeley | Lactation Consultant, Non-RN | 2458 South Walnut Street, Bloomington, IN 47401 | 2014-09-19 |
| 1518397801 | Indiana Spine and Sports Inc. | Chiropractor | 418 S Walnut St Suite C, Bloomington, IN 47401 | 2013-11-22 |
| 1053654574 | William Robblee Anderson | Obstetrics & Gynecology | 2625 E. Spicewood Ct., Bloomington, IN 47401 | 2013-04-03 |
| 1285979377 | Jenna Marie Dale | Optometrist | 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 | 2012-11-30 |
| Find all providers in zip 47401 | ||||
| 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 |
|---|---|---|---|---|
| 1770101875 | Leah Elizabeth Sinn Iversen | Social Worker | 518 N Colony Ct, Bloomington, IN 47408-3012 | 2020-07-06 |
| 1972128825 | Elizabeth Heid Counseling Services LLC | Social Worker | 2103 E Washington St Bldg 1, Bloomington, IL 61701-4310 | 2020-06-16 |
| 1144845389 | Debra Diann Terfruchte | Social Worker | 2001 Withers Ln, Bloomington, IL 61704-9069 | 2020-06-13 |
| 1144857301 | Megan Stahly | Social Worker | 827 W 14th Ct, Bloomington, IN 47404-3347 | 2020-03-26 |
| 1659906634 | The Healing Tree Psychotherapy and Consulting Services, LLC | Social Worker | 2103 E Washington St Ste 2g, Bloomington, IL 61701-4365 | 2020-03-10 |
| 1972147429 | Nina Maria Castronova | Social Worker | 1886 E Cheyanne Ln, Bloomington, IN 47401-4143 | 2019-10-28 |
| 1215400791 | Elizabeth Therese Heid | Social Worker | 2302 E Oakland Ave Ste 7, Bloomington, IL 61701-5875 | 2019-01-07 |
| 1689143232 | James Baugh | Social Worker | 1408 S Walnut St Ste A, Bloomington, IN 47401-5888 | 2018-11-13 |
| 1306344007 | Jillian Gonterman | Social Worker | 804 N College Ave, Bloomington, IN 47404-3526 | 2018-01-28 |
| 1790209013 | Jennifer Guidebeck | Social Worker | 3201 Clairbridge Dr, Bloomington, IL 61704-9474 | 2017-07-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47401 |
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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.