MRS. ANDREA JEAN KING (NPI# 1154856698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154856698 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA JEAN KING |
| Credential | CDCA |
| Practice Address |
2775 State Route 39 Shelby OH 44875 |
| Mailing Address |
2775 State Route 39 Shelby OH 44875-9466 |
| Practice Telephone | 4197473322 |
| Mailing Telephone | 4197473322 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
150041 | OH | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | S.1904156 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 151 Marion Ave, Mansfield, OH 449032223 | 4197749969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558798777 | Andrea Lashun King | Licensed Practical Nurse | 97 Barberry Ter, Rochester, NY 14621-4160 | 2013-10-02 |
| 1912212713 | Andrea King | Speech-Language Pathologist | 2553 Ridge Road Ext, Baden, PA 15005-2211 | 2010-08-17 |
| 1487719548 | Andrea A King | Counselor | 3595 Canton Rd Ste A9, #217, Marietta, GA 30066-2692 | 2006-12-27 |
| 1891880258 | Andrea J King | Social Worker | 100 Rivendell Drive, Benton, AR 72015 | 2006-10-03 |
| 1326658089 | Andrea King | Pharmacist | 710 Lawrence Expressway, Mob 3rd Floor, Dept 362, Santa Clara, CA 95051 | 2020-08-06 |
| 1174092019 | Andrea King | Dietitian, Registered | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2018-11-21 |
| 1487129722 | Andrea Lee King | Nurse's Aide | 645 Rodi Rd, Pittsburgh, PA 15235-4564 | 2018-10-12 |
| 1386129898 | Andrea King | Clinical Nurse Specialist | 2719 Se I St, Bentonville, AR 72712-3996 | 2018-10-01 |
| 1497230015 | Andrea King | Orthopaedic Surgery | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2018-09-28 |
| 1811402019 | Andrea King | Behavioral Analyst | 19019 Ventura Blvd, Tarzana, CA 91356-3253 | 2017-12-11 |
| Street Address |
2775 STATE ROUTE 39 |
| City | SHELBY |
| State | OH |
| Zip Code | 44875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376518902 | Cornell Abraxas Group, Inc. | Clinic/Center | 2775 State Route 39, Shelby, OH 44875-9466 | 2006-02-17 |
| 1033726039 | Paige Snyder | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-09-24 |
| 1598370751 | Erin Ball | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-09-14 |
| 1689289860 | Josh Alamanteoff | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-09-14 |
| 1891306783 | Destinee Oney | Licensed Practical Nurse | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-08-13 |
| 1548878283 | Kaitlyn Lamb | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-07-20 |
| 1083239594 | Jospeh Norris | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-06-10 |
| 1962027474 | Joseph Goracke | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-06-10 |
| 1962022814 | Jacquille Fletcher | Counselor | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-04-21 |
| 1386263036 | Mary Metoyer | Licensed Practical Nurse | 2775 State Route 39, Shelby, OH 44875-9466 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999755 | Michael Lee Mason | Counselor | 2779 St. Rt. 39, Shelby, OH 44875 | 2018-04-17 |
| 1336646009 | Toia Branklin | Counselor | 2779 St Rt 39, Shelby, OH 44875 | 2018-04-10 |
| 1801397138 | Stephanie L Kamp | Social Worker | 29 Steele Ave, Shelby, OH 44875 | 2018-02-22 |
| 1164956744 | Brandy Brown | Licensed Practical Nurse | 2775 St. Rt. 39, Shelby, OH 44875 | 2017-04-20 |
| 1306229281 | Spencer Blevins | Specialist/Technologist | 7025 State Route 61 N, Shelby, OH 44875 | 2015-07-09 |
| 1194141150 | Karen Rittenhouse | Occupational Therapist | 109 Auburn Ave., Auburn Elementary, Shelby, OH 44875 | 2014-03-13 |
| 1467877100 | Adrianne Stumbo | Licensed Practical Nurse | 2708 Holtz Rd, Shelby, OH 44875 | 2014-03-04 |
| 1730452608 | Amy Marie Weiner | Community Health Worker | 225 West Main Street, Shelby, OH 44875 | 2012-02-22 |
| 1093038218 | Susan K Mcfarland | Licensed Practical Nurse | 77 Grand Blvd Ext, Shelby, OH 44875 | 2010-03-02 |
| 1427289362 | Mary Catherine Finnegan | Physical Therapy Assistant | 60 Grand Blvd Apt 1, Shelby, OH 44875 | 2009-07-27 |
| Find all providers in zip 44875 | ||||
| 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 |
|---|---|---|---|---|
| 1801397138 | Stephanie L Kamp | Social Worker | 29 Steele Ave, Shelby, OH 44875 | 2018-02-22 |
| 1821546953 | Katie Kissel | Social Worker | 4312 Bowman Street Rd, Shelby, OH 44875-8806 | 2016-09-19 |
| 1356626220 | Cathy Robinson Lazenby | Social Worker | 315 Patton Dr., Shelby, NC 28150 | 2011-10-11 |
| 1982937967 | George Odembo | Social Worker | 213 Patton Dr Ste C, Shelby, NC 28150-4674 | 2009-09-09 |
| 1275791766 | Barbara A Hodge | Social Worker | 806 N Lafayette St, Suite C, Shelby, NC 28150-3831 | 2008-05-30 |
| 1841753241 | Samantha Jo Shenberger | Social Worker | 2775 State Route 39, Shelby, OH 44875-9466 | 2019-04-11 |
| 1104392968 | Michele Seiter | Social Worker | 2775 State Route 39, Shelby, OH 44875-9466 | 2018-10-19 |
| 1306374160 | Razhedatequila Eunicetage Sanford | Social Worker | 1243 E Dixon Blvd, Shelby, NC 28152-6978 | 2017-05-24 |
| 1588190532 | Rebecca Fisher | Social Worker | 2775 State Route 39, Shelby, OH 44875-9466 | 2017-05-11 |
| 1053852855 | Mychal Deeb | Social Worker | 2775 State Route 39, Shelby, OH 44875-9466 | 2017-03-13 |
| Find all providers in SHELBY | ||||
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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.