SALLY NISSA SMITH (NPI# 1174165195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174165195 |
| Entity Type | Individual |
| Full Name | SALLY NISSA SMITH |
| Credential | LSW |
| Practice Address |
8140 Dream St Ste D Florence KY 41042-7532 |
| Mailing Address |
3939 Woodgate Ct Erlanger KY 41018-2923 |
| Practice Telephone | 5135037544 |
| Mailing Telephone | 5135037544 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 254374 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502505 | Sally Smith | Counselor | 4525 Southcreek Rd, Moore, OK 73165-7359 | 2020-06-08 |
| 1861981193 | Sally Anne Smith | Nurse Practitioner | 51a Calle Gurule, Santa Fe, NM 87505-1413 | 2018-05-02 |
| 1205144631 | Sally Smith | Case Manager/Care Coordinator | 201 Carmen Ln, Santa Maria, CA 93458-7722 | 2010-09-20 |
| 1104971746 | Sally Jean Smith | Pediatrics | 3639 Harbor Blvd Ste 106, Ventura, CA 93001-4276 | 2007-01-24 |
| 1386705564 | Sally A Smith | Social Worker | 150 Bw Thomas Dr, Ste 125, Ft Mill, SC 29708 | 2006-12-12 |
| 1861025710 | Sally Nan Smith | Physical Therapy Assistant | 1638 Vz County Road 1803, Grand Saline, TX 75140-3494 | 2020-02-19 |
| 1194200204 | Sally Smith | Counselor | 3300 Canal St Ste 120, New Orleans, LA 70119-6246 | 2018-09-25 |
| 1952896748 | Sally Emma Smith | Surgery | 201 Nw R D Mize Rd, Blue Springs, MO 64014-2513 | 2018-06-25 |
| 1215427075 | Sally Ann Smith | Licensed Vocational Nurse | 8318 Jones Maltsberger Rd Ste 121, San Antonio, TX 78216-6552 | 2018-05-16 |
| 1760921571 | Sally Smith | Counselor | 145 Main St, Lakeville, MA 02347-1621 | 2017-02-14 |
| Street Address |
8140 DREAM ST STE D |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013479872 | Julie Ann Impellitteri | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-04-02 |
| 1639714942 | Lindsey Paige Lewis | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-11-11 |
| 1861053696 | Jason Hibbard | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-06-24 |
| 1003476409 | Krista Wilkerson | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-06-18 |
| 1225694508 | Deanna E Hurd | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1477169845 | Nunia Teresa Mafi Silver | Social Worker | 117 Maplewood Ter, Florence, MA 01062-2715 | 2020-09-21 |
| 1316555865 | Sarah Brianna Hunter | Social Worker | 1110 Sherwood Dr, Florence, SC 29501-5542 | 2020-07-21 |
| 1215551130 | Daisy Annette Paul | Social Worker | 606 Rose St, Florence, SC 29506-6467 | 2020-06-05 |
| 1093367229 | Shakeita Price | Social Worker | 1800 2nd Loop Rd Ste 3, Florence, SC 29501-6180 | 2019-07-09 |
| 1013479872 | Julie Ann Impellitteri | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-04-02 |
| 1750830428 | Brenda Ann Walker | Social Worker | 1302 Valparaiso Dr Apt J14, Florence, SC 29501-6199 | 2016-09-23 |
| 1194148684 | Lori A Strolin | Social Worker | 50 Middle St, Florence, MA 01062-1920 | 2014-02-04 |
| 1811279045 | Eralphia Lee Eckles Jr. | Social Worker | 1022 Roda Dr., Florence, SC 29501 | 2011-09-14 |
| 1376778571 | Linda L Davis | Social Worker | 159 N Coit St, Florence, SC 29501-3435 | 2009-05-18 |
| 1790920403 | Stefani Mcelheney | Social Worker | 73 Cavalier Blvd Ste 309, Florence, KY 41042-5183 | 2008-12-09 |
| Find all providers in FLORENCE | ||||
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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.