HARVODES BEREAVEMENT & LOSS CENTER, INC (NPI# 1053569798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053569798 |
Entity Type | Organization |
Organization Name | HARVODES BEREAVEMENT & LOSS CENTER, INC |
Practice Address |
22 Wilson Ave Ne 209 Saint Cloud MN 56304-0440 |
Practice Telephone | 3202597707 |
Practice Fax Number | 3202514590 |
Mailing Telephone | 3202597707 |
Mailing Fax Number | 3202514590 |
Enumeration Date | 2008-09-07 |
Last Update Date | 2009-08-12 |
Authorized Official Name | MR. BILLY ANDERSON (FOUNDER/MENTAL HEALTH CLINICAN) |
Authorized Official Telephone | 3202597706 |
Authorized Official Credential | MA, MA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
300215 | MN | Behavioral Health & Social Service Providers |
Y | 1041C0700X |
Social Worker Specialization: Clinical |
12688 | MN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | MEDICAL ASSISTANCE/MINNESOTA CARE | 347720700 | 01 |
Street Address |
22 WILSON AVE NE 209 |
City | SAINT CLOUD |
State | MN |
Zip Code | 56304-0440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134219165 | Anne Cecile Leonard | Psychologist | 22 Wilson Ave Ne, Suite Number 110, Saint Cloud, MN 56304-0440 | 2006-10-13 |
1669794723 | Susan Jean Fuchs-hoeschen | Social Worker | 22 Wilson Ave Ne, Ste 110, Saint Cloud, MN 56304-0440 | 2010-02-17 |
1619103645 | Consumer Directions, Incorporated | Home Health | 22 Wilson Ave Ne, Suite 205, Saint Cloud, MN 56304-0440 | 2009-06-04 |
1558580340 | Daniel John Williams | Chiropractor | 22 Wilson Ave Ne, Saint Cloud, MN 56304-0440 | 2007-04-24 |
1215154133 | Niloufer Moiz Merchant | Psychologist | 22 Wilson Ave Ne, Suite 110, Saint Cloud, MN 56304-0440 | 2007-04-20 |
1033286414 | Billy M Anderson | Counselor | 22 Wilson Ave Ne, 209, Saint Cloud, MN 56304-0440 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316597701 | Liza Aberle | Naturopath | 22 Wilson Ave Ne # 205, Saint Cloud, MN 56304 | 2019-09-17 |
1902386089 | Jd Home Health Care | Clinic/Center | 4896 52nd St, St. Cloud, MN 56304 | 2018-08-17 |
1861490690 | Julia Anna Blonigen | Speech-Language Pathologist | 1882 Kilian Blvd, St Cloud, MN 56304 | 2005-07-14 |
1700111705 | St. Cloud Metropolitan Transit Commission | Non-emergency Medical Transport (VAN) | 665 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2009-10-08 |
1053364976 | In Home Health LLC | Home Health | 605 Franklin Ave Ne, Saint Cloud, MN 56304-0225 | 2006-05-19 |
1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
1568082428 | Cloud Home Health Care Services LLC | Clinic/Center | 22 Wilson Ave Ne Ste 208, Saint Cloud, MN 56304-0440 | 2020-04-21 |
1326688417 | Sunshine Care Services Inc | In Home Supportive Care | 22 Wilson Ave Ne Ste 15, Saint Cloud, MN 56304-0440 | 2020-01-07 |
1295039204 | Rose Melinda Stark-rose | Psychologist | 22 Wilson Ave Ne # 110, Saint Cloud, MN 56304-0440 | 2011-01-05 |
1750448478 | Robin Stacey Colburn | Advanced Practice Midwife | 22 Wilson Ave Ne Ste 205, Saint Cloud, MN 56304-0440 | 2007-01-02 |
Find all providers in zip 56304 |
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 |
---|---|---|---|---|
1386143923 | Erin Lindsey Raymond | Social Worker | 1203 Florida Ave, Saint Cloud, FL 34769-3721 | 2018-02-09 |
1679029599 | Jeffrey Scott Fleischmann | Social Worker | 1900 Centracare Cir # 2475, Centracare Health Plaza, Saint Cloud, MN 56303-5000 | 2016-08-31 |
1710368998 | Ann Marie Rodriguez | Social Worker | 4707 Ashton Dr W, Saint Cloud, FL 34771-4879 | 2015-06-14 |
1376946806 | Charity Anne Hans | Social Worker | 511 3rd St Ne, Saint Cloud, MN 56304-0311 | 2014-09-29 |
1881844587 | John Allan Mazzitello | Social Worker | 1700 Hillcrest Rd, Saint Cloud, MN 56303-1415 | 2008-09-30 |
1336331479 | Jennifer Marie Keena | Social Worker | 1045 16th Ave S, Saint Cloud, MN 56301-5235 | 2007-08-13 |
1295812105 | Kenneth Longfellow Hanna II | Social Worker | 600 25th Ave S Ste 209, Saint Cloud, MN 56301-4866 | 2006-11-01 |
1093828204 | Julie Kay Theismann | Social Worker | 2025 Stearns Way Ste 111, Saint Cloud, MN 56303-1275 | 2006-08-15 |
1639181332 | Sharon Lee Lee | Social Worker | 2004 13th St N, Saint Cloud, MN 56303-2502 | 2006-08-12 |
1669494605 | Midwest Eap Solutions | Social Worker | 1010 W Saint Germain St Ste 580, Saint Cloud, MN 56301-4166 | 2006-07-25 |
Find all providers in SAINT CLOUD |
City | SAINT CLOUD |
Zip Code | 56304 |
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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.