KEISHA THORNTON (NPI# 1972988764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972988764 |
| Entity Type | Individual |
| Full Name | KEISHA THORNTON |
| Practice Address |
501 4th Ave Crestview FL 32536-2539 |
| Mailing Address |
1600 Sw Archer Rd Box 100183 Gainesville FL 32610 |
| Practice Telephone | 8506897252 |
| Mailing Telephone | 3523920140 |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2020-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW16905 | FL | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
ISW8952 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 107639000 | 05 |
| Street Address |
501 4TH AVE |
| City | CRESTVIEW |
| State | FL |
| Zip Code | 32536-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134308265 | Kimberly Kay Freeman | Licensed Practical Nurse | 501 4th Ave, Crestview, FL 32536-2539 | 2007-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831684901 | Eva Maria I Matute | Adult Companion | 6050 Trestle St, Crestview, FL 32536 | 2018-06-29 |
| 1669989232 | Lauren Estep Flowers | Physician Assistant | 550 Redstone Ave W Ste 370, Crestview, FL 32536 | 2018-01-04 |
| 1427444868 | Jessie Huisken | Social Worker | 5890 Saratoga Dr, Crestview, FL 32536 | 2015-04-13 |
| 1679846166 | John D. Carlson Md | Specialist | 492 North Wilson Street, Crestview, FL 32536 | 2012-02-15 |
| 1154609691 | Alternative Living, Inc. | Assisted Living Facility | 603 North Pearl Street, Crestview, FL 32536 | 2011-08-02 |
| 1487821526 | Michael G Foley Md Pa | Internal Medicine | 524 James Lee Blvd W, Crestview, FL 32536 | 2008-05-08 |
| 1184805830 | Advanced Family Medicine Clinic Inc | Family Medicine | 327 Medcrest Drive, Unit A, Crestview, FL 32536 | 2007-11-23 |
| 1164631511 | Caring Hearts Pediatric Extended Care Center, Inc | Clinic/Center | 380 Medcrest Dr, Crestview, FL 32536 | 2007-05-22 |
| 1669697751 | Crestview Chiropractic Clinic, Inc. | Chiropractor | 1078 S. Ferdon Boulevard, Suite A, Crestview, FL 32536 | 2007-04-16 |
| 1457492886 | Roy M Nakaiye | Dentist | 222 Cedar Ave, Crestview, FL 32536 | 2007-02-09 |
| Find all providers in zip 32536 | ||||
| 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 |
|---|---|---|---|---|
| 1881291664 | Mallory D Nunez | Social Worker | 154 Tranquility Dr, Crestview, FL 32536-9505 | 2020-10-05 |
| 1659932853 | Terese Brooks | Social Worker | 123 Crab Apple Ave, Crestview, FL 32536-2257 | 2019-06-27 |
| 1871074146 | Trista Shari Moffett | Social Worker | 259 E Oakdale Ave Ste 207, Crestview, FL 32539-3547 | 2018-08-24 |
| 1861920415 | Tamara Bogle | Social Worker | 1849 E 1st Ave, Crestview, FL 32539-3109 | 2017-05-26 |
| 1275074064 | Jessica R Myers | Social Worker | 303 Lakeview Dr, Crestview, FL 32536-2330 | 2017-03-14 |
| 1437534237 | Mariah Lewis | Social Worker | 515 Tall Pines St, Crestview, FL 32539-3614 | 2015-07-22 |
| 1447595038 | Heather Powell | Social Worker | 128 John King Rd Ste 14, Crestview, FL 32539-5731 | 2012-12-07 |
| 1366511099 | Jeffrey Arney | Social Worker | 299 W Railroad Ave, Crestview, FL 32536-4053 | 2006-11-07 |
| 1578176673 | Scott A Saucer | Social Worker | 299 W Railroad Ave, Crestview, FL 32536-4053 | 2020-08-28 |
| 1073097440 | Michelle Lou Milligan | Social Worker | 259 E Oakdale Ave, Crestview, FL 32539-3547 | 2018-09-20 |
| Find all providers in CRESTVIEW | ||||
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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.