JERRY STOVALL (NPI# 1982730438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982730438 |
| Entity Type | Individual |
| Full Name | JERRY STOVALL |
| Credential | L.C.S.W. |
| Practice Address |
2485 Old Eureka Way Redding CA 96001-0336 |
| Practice Telephone | 5302428971 |
| Practice Fax Number | 5302441546 |
| Mailing Telephone | 5302428971 |
| Mailing Fax Number | 5302441546 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS16319 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CSW163190 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589844 | Jerry L. Stovall | Dentist | 620 Perimeter Dr, Suite 203, Lexington, KY 40517-4125 | 2005-12-21 |
| Street Address |
2485 OLD EUREKA WAY |
| City | REDDING |
| State | CA |
| Zip Code | 96001-0336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548274699 | Robin Lynn Harper | Marriage & Family Therapist | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2006-07-27 |
| 1528211661 | Cheryl F Graham | Marriage & Family Therapist | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2008-11-03 |
| 1780877498 | Helene Iris Stovall | Social Worker | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2007-08-26 |
| 1891825097 | Marina Annegret Naujocks-mix | Marriage & Family Therapist | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2007-03-06 |
| 1780729533 | Sue Ann Michi Takemoto | Social Worker | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2007-02-20 |
| 1952444903 | Edith Burnett | Marriage & Family Therapist | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2007-02-15 |
| 1639225998 | Diana Hollibaugh | Marriage & Family Therapist | 2485 Old Eureka Way, Redding, CA 96001-0336 | 2007-01-26 |
| 1568568194 | Helen L. Clark | Marriage & Family Therapist | 2485 Old Eureka Way, Redding, CA 96001 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| 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 |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1154849479 | Leslie Rubury | Social Worker | 90 Peaceable St, Redding, CT 06896-3107 | 2017-09-07 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1811344450 | Roger Milton Slagle | Social Worker | 999 Mission De Oro Dr Ste 103, Redding, CA 96003 | 2016-05-23 |
| 1821455577 | Joshua Roberts | Social Worker | 478 Bedrock Ln, Redding, CA 96003-3345 | 2016-01-26 |
| 1750758884 | Justina Marion Hale | Social Worker | 2338 Dartmouth Dr, Redding, CA 96001-5818 | 2015-08-24 |
| 1548665862 | Michelle Kamla | Social Worker | 2400 Washington Ave Ste 401, Redding, CA 96001-2827 | 2014-10-29 |
| 1932512738 | Anne Shields | Social Worker | 2 Rob Rider Rd, Redding, CT 06896-1303 | 2014-06-09 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1912297664 | George Bronson Scripture IIi | Social Worker | 448 Redcliff Dr Ste 120, Redding, CA 96002-0159 | 2011-04-14 |
| Find all providers in REDDING | ||||
Please comment or provide details below to improve the information on JERRY STOVALL.
| 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.