MRS. TEKISHA DIRRELLE WIMBUSH (NPI# 1962917104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962917104 |
| Entity Type | Individual |
| Full Name | MRS. TEKISHA DIRRELLE WIMBUSH |
| Credential | LSW |
| Practice Address |
6133 Rockside Rd Ste 403 Independence OH 44131-2244 |
| Practice Telephone | 2164555571 |
| Practice Fax Number | 3303315805 |
| Mailing Telephone | 2164555571 |
| Mailing Fax Number | 3303315805 |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | S.1701592 | OH | Behavioral Health & Social Service Providers |
| Street Address |
6133 ROCKSIDE RD STE 403 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689299190 | Kerri Mazzone | Social Worker | 6133 Rockside Rd Ste 403, Independence, OH 44131-2244 | 2020-06-10 |
| 1972005726 | Stephanie Mccain | Marriage & Family Therapist | 6133 Rockside Rd Ste 403, Independence, OH 44131-2244 | 2018-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890829 | Brettneka Cyprain | Social Worker | 16324 School Rd, Independence, LA 70443-2022 | 2020-10-28 |
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1477972529 | Hospice Preferred Choice, Inc. | Social Worker | 5755 Granger Rd, Suite 700, Independence, OH 44131-1442 | 2014-04-15 |
| 1164779070 | Aimee Danielle Ross | Social Worker | 10704 E Westport Rd, Independence, MO 64052-3470 | 2012-08-09 |
| 1902171267 | Tracy Lynn Karel | Social Worker | 411 W Maple Ave Ste C, Independence, MO 64050-2840 | 2012-03-19 |
| 1548552318 | Boosya(bruce) Saichompoo | Social Worker | 501 N Penn Ave, 2nd Floor, Independence, KS 67301-3013 | 2011-05-11 |
| 1871899435 | Katherine Renee Malone | Social Worker | 136 E Walnut St, Ste 102, Independence, MO 64050-3990 | 2011-01-31 |
| 1861675910 | Glenda Baker Whitehead | Social Worker | 150 E Kansas Ave, Independence, MO 64050-3916 | 2007-12-12 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
Please comment or provide details below to improve the information on MRS. TEKISHA DIRRELLE WIMBUSH.
| 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.