ROBERT K WYATT (NPI# 1093951915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093951915 |
| Entity Type | Individual |
| Full Name | ROBERT K WYATT |
| Credential | LCSW |
| Practice Address |
950 W Ironwood Dr Suite #2 Coeur D Alene ID 83814-2644 |
| Practice Telephone | 2086641594 |
| Practice Fax Number | 2086645867 |
| Mailing Telephone | 2086641594 |
| Mailing Fax Number | 2086645867 |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2014-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-31748 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1922240019 | Robert E. Wyatt | Podiatrist | 9134 Bradenton Rd, Fort Wayne, IN 46835-8892 | 2009-04-03 |
| 1629676119 | Robert J. Wyatt | Registered Nurse | 1700 Airport Way S, Seattle, WA 98134-1618 | 2020-10-15 |
| 1467627398 | Robert A Wyatt | Pharmacist | 2300 Baltimore Reynoldsburg Rd, Reynoldsburg, OH 43068-8030 | 2008-04-22 |
| 1568518694 | Robert Clyde Wyatt | Nurse Anesthetist, Certified Registered | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2007-01-25 |
| 1912965070 | Robert J Wyatt | Pediatrics | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
| Street Address |
950 W IRONWOOD DR SUITE #2 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740249275 | Daryl K Maccarter | Specialist | 950 W Ironwood Dr, Coeur D Alene, ID 83814-2644 | 2006-03-22 |
| 1851619639 | Rosalie Nadine Johnston | Counselor | 950 W Ironwood Dr, Ste #2, Coeur D Alene, ID 83814-2644 | 2010-05-04 |
| 1477756146 | Wellness Enhancement Center LLC | Counselor | 950 W Ironwood Dr, Suite 2, Coeur D Alene, ID 83814-2644 | 2007-06-08 |
| 1487870796 | Craig W. Wiesenhutter, Md | Internal Medicine | 950 W Ironwood Dr, Coeur D Alene, ID 83814-2644 | 2007-04-17 |
| 1205980422 | Craig W Wiesenhutter | Internal Medicine | 950 W Ironwood Dr, Coeur D Alene, ID 83814-2644 | 2007-01-23 |
| 1861546004 | Linda M Sakai | Internal Medicine | 950 W Ironwood Dr, Coeur D Alene, ID 83814-2644 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1497377469 | Raising Resilience Holistic Mental Wellness Inc | Social Worker | 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 | 2020-05-13 |
| 1952823148 | Amy Michelle Jenkins | Social Worker | 1115 W Ironwood Dr Ste A, Coeur D Alene, ID 83814-4937 | 2017-07-10 |
| 1679937437 | Jason Fredrick Bradfish | Social Worker | 118 N 7th St Ste C3, Coeur D Alene, ID 83814-2736 | 2016-04-07 |
| 1912348186 | Bailey Jennette White | Social Worker | 1105 W Ironwood Dr Lowr Level, Coeur D Alene, ID 83814 | 2013-07-16 |
| 1679824965 | Joy'l Jenkins | Social Worker | 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 | 2012-09-26 |
| 1013277888 | Donna Colberg | Social Worker | 6050 E Kingswood Ln, Coeur D Alene, ID 83814-5263 | 2012-05-25 |
| 1649568262 | Paul A Grayhek | Social Worker | 1406 N Galena Dr, Coeur D Alene, ID 83814-5990 | 2011-07-17 |
| 1285933358 | Kathleen Fairbanks | Social Worker | 401 1/2 E Sherman Ave Ste 203, Coeur D Alene, ID 83814-2745 | 2011-03-15 |
| 1578869780 | Sheri Starbird Weistaner | Social Worker | 602 E Garden Ave Ste 5, Coeur D Alene, ID 83814-2945 | 2011-02-04 |
| 1093036147 | Jud Eugene Leifheit | Social Worker | 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814-2784 | 2010-06-11 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
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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.