ERIC LEE NELSON WALLEN (NPI# 1114556081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114556081 |
| Entity Type | Individual |
| Full Name | ERIC LEE NELSON WALLEN |
| Credential | LMSW |
| Practice Address |
11 S Division St Bonne Terre MO 63628-1772 |
| Mailing Address |
722 Janey Dr Farmington MO 63640-9209 |
| Practice Telephone | 5737231100 |
| Mailing Telephone | 5737605520 |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 2020009792 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386730729 | Eric M Wallen | Urology | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-05 |
| Street Address |
11 S DIVISION ST |
| City | BONNE TERRE |
| State | MO |
| Zip Code | 63628-1772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437675477 | Kybama, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 12729 Stoney Point Rd, Bonne Terre, MO 63628 | 2017-08-22 |
| 1295092500 | Jak Properties Inc | In Home Supportive Care | 522 Benham St, Suite B, Bonne Terre, MO 63628 | 2012-04-12 |
| 1013121599 | Joseph Richard Engel | Dentist | 20 W Johnson St, Bonne Terre, MO 63628 | 2007-05-10 |
| 1215093844 | Debra Long Morgan | Dentist | 20 West Johnson Street, Bonne Terre, MO 63628 | 2006-12-28 |
| 1497811459 | Robert Oliver Greenwald | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2006-12-27 |
| 1255964508 | American Nursing & Rehab LLC | Assisted Living Facility | 10 Lake Drive, Bonne Terre, MO 63628 | 2020-02-14 |
| 1962679746 | Robert O Greenwald Dds PC | Dentist | #20 W Johnson, Bonne Terre, MO 63628 | 2008-05-12 |
| 1427045004 | Pairat Vibulakaopun | Internal Medicine | 527 Benham St, Bonne Terre, MO 63628-1205 | 2005-09-29 |
| 1124014030 | Kenny Ratana | Radiology | 527 Benham St # B, Bonne Terre, MO 63628-1205 | 2005-09-26 |
| 1669017315 | Patricia Ann Peterson | Nurse Practitioner | 527 Benham St, Bonne Terre, MO 63628-1205 | 2019-11-15 |
| Find all providers in zip 63628 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548423 | Leah Myers | Social Worker | 121 Timbercrest Rd, Saint Louis, MO 63122-1311 | 2020-11-04 |
| 1891303483 | Danielle Annette Marvin | Social Worker | 3633 Mcree Ave # A, Saint Louis, MO 63110-2617 | 2020-07-20 |
| 1881211829 | Sarah Jo Cross | Social Worker | 406 S Spring St, Ste 2, Perryville, MO 63775 | 2020-06-25 |
| 1023639283 | Priscilla Williams | Social Worker | 912 Jefferson St, Saint Charles, MO 63301-2744 | 2020-04-29 |
| 1245863125 | Haylie S. Colby | Social Worker | 6300 N Revere Dr Ste 270, Kansas City, MO 64151-3919 | 2020-02-19 |
| 1609409804 | Anastasia Viveros-schmidt | Social Worker | 4031 Central St, Kansas City, MO 64111-2207 | 2020-02-16 |
| 1518598077 | Lee Ann Roberts | Social Worker | 103 Strauss Dr, Park Hills, MO 63601-2400 | 2020-02-03 |
| 1760021034 | Norma Jean Kelley | Social Worker | 1555 Ne Rice Rd Bldg B, Lees Summit, MO 64086-5849 | 2020-01-03 |
| 1356980759 | Erin Honeyfield | Social Worker | 6538 County Road 1730, West Plains, MO 65775-5327 | 2020-01-02 |
| 1447899075 | Ashley Dickerson | Social Worker | 3302 S Belt Hwy Ste P, Saint Joseph, MO 64503-1514 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | BONNE TERRE |
| Zip Code | 63628 |
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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.