MARYBETH M HORDYK (NPI# 1073132387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073132387 |
Entity Type | Individual |
Full Name | MARYBETH M HORDYK |
Credential | LCSW |
Practice Address |
1020 N 12th St Milwaukee WI 53233-1308 |
Mailing Address |
3301 W Forest Home Ave Milwaukee WI 53215-2843 |
Practice Telephone | 4142195673 |
Mailing Telephone | 4143892233 |
Enumeration Date | 2020-04-16 |
Last Update Date | 2020-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
9418 | WI | Behavioral Health & Social Service Providers |
Street Address |
1020 N 12TH ST |
City | MILWAUKEE |
State | WI |
Zip Code | 53233-1308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003882994 | Soryal A Soryal | Internal Medicine | 1020 N 12th St, 3rd Floor, Milwaukee, WI 53233-1308 | 2006-02-28 |
1114533478 | Rebecca Ann Biskup | Massage Therapist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-09-21 |
1215547369 | Kimberly Dee Chobanian Balash | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-08-04 |
1336774132 | Kari L Jensen | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-03-12 |
1881232270 | Pamela Newbury-scheife | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-12-16 |
1093360380 | Keith C Rindahl | Nurse Practitioner | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2019-08-05 |
1780153387 | Ashanti Dean | Advanced Practice Midwife | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-11-13 |
1295229037 | Emilie I Franchow | Psychologist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-06-15 |
1447757596 | Traci J Hempler | Counselor | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2018-04-06 |
1831628338 | Holly Neuman | Social Worker | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2017-06-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
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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 |
---|---|---|---|---|
1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
1255953527 | Susan C. Donnelly | Social Worker | 191 N Broadway Unit 205, Milwaukee, WI 53202-6031 | 2020-05-10 |
1013556885 | Shalonda Renee Leflore | Social Worker | 3244 N 48th St, Milwaukee, WI 53216-3344 | 2019-12-27 |
1003458068 | Anaddia S Clark | Social Worker | 4929 W Fond Du Lac Aveune, Milwaukee, WI 53216-2324 | 2019-10-11 |
1639727258 | Lauren Marie Kubik | Social Worker | 2375 N 67th St, Milwaukee, WI 53213-1438 | 2019-08-27 |
1164077319 | Casey Mccarragher | Social Worker | 3330 W Wells St, Milwaukee, WI 53208-3333 | 2019-08-05 |
1023661659 | Edwin Bacalso | Social Worker | 2524 E Webster Pl Ste 203, Milwaukee, WI 53211-4257 | 2019-07-23 |
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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.