CHARLOTTE CEARLOCK (NPI# 1962947804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962947804 |
| Entity Type | Individual |
| Full Name | CHARLOTTE CEARLOCK |
| Practice Address |
907 Kentucky St Quincy IL 62301-4153 |
| Practice Telephone | 6183393700 |
| Mailing Telephone | 6183393700 |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
907 KENTUCKY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699131466 | Elizabeth Murphy Higgins | Developmental Therapist | 500 Victory Rd Ste 19, Quincy, MA 02171-3138 | 2016-01-11 |
| 1487063269 | Julia Danielle O'neill | Developmental Therapist | 2433 Vermont St, Quincy, IL 62301-3259 | 2014-08-06 |
| 1134543168 | Kim Stevens | Developmental Therapist | 3921 S 24th St, Quincy, IL 62305-8925 | 2014-02-11 |
| 1912256462 | Zara Elizabeth Racz | Developmental Therapist | 12 Hancock Court, Quincy, MA 02169 | 2012-08-30 |
| 1467718973 | Katherine Stegner | Developmental Therapist | 239 Glendale Dr, Quincy, IL 62301-4450 | 2012-04-09 |
| 1750664009 | Carri Lin Bellis | Developmental Therapist | 1020 S 30th St, Quincy, IL 62301-6290 | 2011-09-23 |
| 1992086276 | Regina Rae Bergman | Developmental Therapist | 1707 S 46th St, Quincy, IL 62305-9058 | 2011-08-31 |
| 1831416007 | Jill Hendrickson | Developmental Therapist | 1465 Hampshire St, Quincy, IL 62301-3141 | 2010-04-28 |
| 1548494081 | Linda Ann Kaltenbach | Developmental Therapist | 2610 Curved Creek Rd, Quincy, IL 62301-6513 | 2009-05-12 |
| 1609021658 | Teresa Gail Rose | Developmental Therapist | 2527 Lake Dr S, Quincy, IL 62305-6482 | 2008-11-18 |
| Find all providers in QUINCY | ||||
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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.