J & J MAUPIN ENTERPRISES INC. (NPI# 1104291905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104291905 |
| Entity Type | Organization |
| Organization Name | J & J MAUPIN ENTERPRISES INC. |
| Other Organization Name | J & J MAUPIN ENTERPRISES INC. |
| Practice Address |
5310 E William Street Rd Decatur IL 62521-1874 |
| Practice Telephone | 2174226361 |
| Practice Fax Number | 2174226365 |
| Mailing Telephone | 2174226361 |
| Mailing Fax Number | 2174226365 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |
| Authorized Official Name | JEREMY RAY MAUPIN (PRESIDENT) |
| Authorized Official Telephone | 2174226361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.016196 | IL | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| J & J Maupin Enterprises Inc. | Doing Business As Name - Organization |
| Street Address |
5310 E WILLIAM STREET RD |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336362300 | J & J Maupin Group Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2007-04-10 |
| 1083243331 | Lori Fleming | Behavioral Analyst | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2020-04-07 |
| 1639538341 | Shannon Dawn Klaska | Behavioral Analyst | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2016-02-23 |
| 1205295102 | A Step Forward Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2016-02-19 |
| 1356707673 | Jennifer Maupin | Social Worker | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2016-01-04 |
| 1740404896 | J & J Maupin Group Homes Inc. | Intermediate Care Facility, Mentally Retarded | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2007-04-12 |
| 1285857284 | Joe Jac Corp. | Intermediate Care Facility, Mentally Retarded | 5310 E William Street Rd, Decatur, IL 62521-1874 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| 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 |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1750999710 | Torquesia Smith | Social Worker | 3904 N Druid Hills Rd Ste 243, Decatur, GA 30033-3105 | 2020-07-16 |
| 1760002836 | Renee Ann Hall-george | Social Worker | 235 E Ponce De Leon Ave Ste 227, Decatur, GA 30030-3412 | 2020-04-19 |
| 1831721067 | Shelly-anne Johnson | Social Worker | 2205 Green Forrest Dr, Decatur, GA 30032-7165 | 2020-02-05 |
| 1871130096 | Mark Loren Kiefer | Social Worker | 2719 Mount Olive Dr, Decatur, GA 30033-2928 | 2019-12-06 |
| 1639715782 | Nadine Coleen Oldham | Social Worker | 2785 Lawrenceville Hwy Ste 205, Decatur, GA 30033-2515 | 2019-11-25 |
| 1881235133 | Marybeth Ann Peters | Social Worker | 1457 Clairmont Rd, Decatur, GA 30033-5362 | 2019-10-07 |
| 1720635782 | Caitlin Virginia Rattigan | Social Worker | 245 E Trinity Pl Unit 1260, Decatur, GA 30030-3487 | 2019-08-23 |
| 1700448644 | Danna Lipton | Social Worker | 209a Swanton Way Ste 102, Decatur, GA 30030-3271 | 2019-07-01 |
| 1023673647 | Candace E Guthery | Social Worker | 16 Moulton St E, Decatur, AL 35601-2310 | 2019-05-08 |
| Find all providers in DECATUR | ||||
Please comment or provide details below to improve the information on J & J MAUPIN ENTERPRISES INC..
| 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.