GWENDOLYN MARIE WYDRA HOLEMAN (NPI# 1174875538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174875538 |
Entity Type | Individual |
Full Name | GWENDOLYN MARIE WYDRA HOLEMAN |
Other Name | GWENDOLYN MARIE WYDRA |
Credential | LCSW |
Practice Address |
300 Randall Rd Geneva IL 60134-4200 |
Practice Telephone | 6309382727 |
Mailing Telephone | 6309382727 |
Enumeration Date | 2012-10-10 |
Last Update Date | 2016-05-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
149017955 | IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225293657 | Gwendolyn Darleen Holeman | Pathology | 3350 Regent Pl Sw, Atlanta, GA 30311-3095 | 2008-07-24 |
Street Address |
300 RANDALL RD |
City | GENEVA |
State | IL |
Zip Code | 60134-4200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407859655 | Delnor-community Hospital | General Acute Care Hospital | 300 Randall Rd, Geneva, IL 60134-4200 | 2005-05-23 |
1811524994 | Daniel Reine | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
1336776400 | Hope Christiansen | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-26 |
1962039677 | Ellean Zhang | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-24 |
1730716598 | Han Myoung Park | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-23 |
1225664220 | Autumn E Bernicky | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-03-21 |
1457985350 | Kinga Radowska | Student in an Organized Health Care Education/Training Program | 300 Randall Rd, Geneva, IL 60134-4200 | 2020-02-28 |
1104387885 | Rachel Elizabeth Dewey | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-26 |
1649739913 | Evan Justin Hale | Family Medicine | 300 Randall Rd, Geneva, IL 60134-4200 | 2019-03-17 |
1124557152 | Josephine Soyoung Lee-kim | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2017-06-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
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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 |
---|---|---|---|---|
1821611476 | Mary Beckmen | Social Worker | 860 Brigham Way, Geneva, IL 60134-2900 | 2020-05-18 |
1912556671 | Jennifer Lee Unger Kroc | Social Worker | 1250 Executive Pl Ste 404, Geneva, IL 60134-2482 | 2019-09-05 |
1184195760 | Emilee L. O'brien Licsw LLC | Social Worker | 1320 G St, Geneva, NE 68361-2104 | 2018-12-07 |
1407351844 | Lisa Ann Koehler | Social Worker | 324 W State St Ste 108, Geneva, IL 60134-2178 | 2018-03-28 |
1356850838 | Amy Marie Miller | Social Worker | 115 Campbell St Ste 200a, Geneva, IL 60134-2777 | 2017-09-27 |
1972964948 | Amy Nitsche | Social Worker | 410 E. State St., Geneva, IL 60134-4838 | 2016-03-17 |
1992170617 | Daniel Thomas Byars | Social Worker | 1111 Greenfield Cir, Geneva, IL 60134-1645 | 2015-12-07 |
1629452404 | Jennifer Anne Meeks | Social Worker | 4487 Pre Emption Rd, Geneva, NY 14456-9714 | 2015-07-12 |
1245636422 | Jeanne Cordelia Mcclung | Social Worker | 671 Exchange Street, Geneva, NY 14456 | 2014-11-14 |
1619387800 | Erika Czemerys Wackenhut | Social Worker | 801 Anderson Blvd, Geneva, IL 60134-1248 | 2014-04-28 |
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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.