CHARLENE R KINCAID (NPI# 1063745693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063745693 |
| Entity Type | Individual |
| Full Name | CHARLENE R KINCAID |
| Credential | MSW, LCSW |
| Practice Address |
535 N Wayne St Waterloo IN 46793-9701 |
| Mailing Address |
4515 Viewridge Ave Ste 230 San Diego CA 92123-1680 |
| Practice Telephone | 8002578715 |
| Practice Fax Number | 8588748212 |
| Mailing Telephone | 8002578715 |
| Mailing Fax Number | 8588748212 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2010-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34005817A | IN | Behavioral Health & Social Service Providers |
| Street Address |
535 N WAYNE ST |
| City | WATERLOO |
| State | IN |
| Zip Code | 46793-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124030101 | Lee Joseph Nagel | Chiropractor | 3386 Co. Rd. 427, Waterloo, IN 46793 | 2006-08-11 |
| 1639283880 | Dr Lee Nagel PC | Chiropractor | 3386 Co. Rd. 427, Waterloo, IN 46793 | 2006-08-17 |
| 1013486976 | Michelle Diane Dunn | Doula | 2181 County Road 27, Waterloo, IN 46793-9413 | 2018-11-20 |
| 1487703286 | Larry G Payne | Dentist | 605 S Wayne St, Waterloo, IN 46793-9472 | 2007-01-09 |
| 1255884425 | Larry G Payne Dds Lc | Dentist | 605 S Wayne St, Waterloo, IN 46793-9472 | 2016-07-25 |
| 1912133968 | Carly L Everingham | Developmental Therapist | 820 Innkeepers Ct, Waterloo, IN 46793-9499 | 2009-06-04 |
| 1487026753 | Zachary Thiele | Specialist/Technologist | 1892 County Road 51, Waterloo, IN 46793-9750 | 2015-10-27 |
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|---|---|---|---|---|
| 1891395448 | Amanda Hurtt | Pharmacist | 961 N Market St Stop 1, Waterloo, IL 62298-1061 | 2020-10-31 |
| 1679173967 | Tina Marie Moore | Adult Companion | 347 Covington Dr Ste A, Waterloo, IL 62298-3287 | 2020-10-27 |
| 1588261705 | Mobile Therapy Centers of Iowa LLC | Behavioral Analyst | 3520 Inverness Rd, Waterloo, IA 50701-4634 | 2020-10-01 |
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1659986438 | Melissa Anne Stenberg | Registered Nurse | 65 Center St, Waterloo, NY 13165-1024 | 2020-09-09 |
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1568076594 | Michelle Ann Tsatsos | Speech-Language Pathologist | 24918 Mason St, Waterloo, NE 68069-4434 | 2020-09-08 |
| 1174137061 | Kristina Gates | Registered Nurse | 604 Lafayette St Ste 202, Waterloo, IA 50703-4708 | 2020-09-08 |
| 1528672904 | Emily Banzer Jensen | Speech-Language Pathologist | 71 Inslee St, Waterloo, NY 13165-1531 | 2020-09-03 |
| Find all providers in WATERLOO | ||||
| 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 |
|---|---|---|---|---|
| 1861029548 | Christine Marie Brinkmann | Social Worker | 5203 Kk Rd, Waterloo, IL 62298-3415 | 2020-03-24 |
| 1275052599 | Awaken Grace LLC | Social Worker | 1014 Illinois Ave, Waterloo, IL 62298-1147 | 2017-09-18 |
| 1902324866 | Drier & Associates, Inc. | Social Worker | 3356 Kimball Ave Ste 2, Waterloo, IA 50702-5700 | 2017-08-31 |
| 1730604554 | Andresen Counseling and Consulting LLC | Social Worker | 110 Plaza Cir Ste B, Waterloo, IA 50701-5139 | 2017-08-14 |
| 1265898340 | Elliott Hofts | Social Worker | 3422 Destin Dr, Waterloo, IA 50702-5641 | 2016-01-05 |
| 1215231303 | Jennifer Lea Shaw | Social Worker | 215 E 4th St, Waterloo, IA 50703-4701 | 2011-01-04 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| 1083851083 | Emily K Allaire | Social Worker | 615 Grant Ave, Waterloo, IA 50702-2111 | 2009-01-13 |
| 1306914874 | Stacey Marie Bogart | Social Worker | 1083 Waterloo Geneva Rd, Waterloo, NY 13165-1202 | 2006-12-01 |
| 1144300740 | Michelle Lee Mcpoland | Social Worker | 2530 University Ave Ste 1, Waterloo, IA 50701 | 2006-10-17 |
| Find all providers in WATERLOO | ||||
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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.