REBECCA A. MATHERLY (NPI# 1215400460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215400460 |
| Entity Type | Individual |
| Full Name | REBECCA A. MATHERLY |
| Other Name | REBECCA BOHANNON |
| Practice Address |
607 Hammond Plz Hopkinsville KY 42240-4971 |
| Mailing Address |
Po Box 614 Hopkinsville KY 42241-0614 |
| Practice Telephone | 2708819551 |
| Practice Fax Number | 2708855871 |
| Mailing Telephone | 2708862205 |
| Mailing Fax Number | 2708860392 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
254629 | KY | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3999 Fort Campbell Blvd, Hopkinsville, KY 422404929 | 2708862205 |
| Street Address |
607 HAMMOND PLZ |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-4971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588754691 | Cornelia C. Bingcang | Psychiatry & Neurology | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2006-10-13 |
| 1497356638 | Brianna Rose Del Rio | Social Worker | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2020-11-04 |
| 1649878570 | Clinton Willis | Counselor | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2020-10-13 |
| 1588280226 | Canice Clarice Minor | Social Worker | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2020-06-18 |
| 1992337760 | Ashley Cenizal | Counselor | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2020-02-10 |
| 1033759444 | Tatyana Baker | Case Manager/Care Coordinator | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2020-01-14 |
| 1386289924 | Christina Esco | Counselor | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2019-11-07 |
| 1225672835 | Tameika Johnson | Case Manager/Care Coordinator | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2019-11-06 |
| 1467002014 | Brittany Irene Haney | Peer Specialist | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2019-09-16 |
| 1568018323 | Krista Kay Mcconnaha | Case Manager/Care Coordinator | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| 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 |
|---|---|---|---|---|
| 1295223790 | Stacy Ezell Jones | Social Worker | 517 N Elm St, Hopkinsville, KY 42240-2416 | 2018-04-30 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1265836456 | Elizabeth Ruth Jones | Social Worker | 2400 Russelville Rd, Genesis East, Hopkinsville, KY 42240-8095 | 2014-10-16 |
| 1376824672 | Tina L Tomlinson | Social Worker | 905 North Dr, Hopkinsville, KY 42240-2624 | 2011-08-31 |
| 1033382734 | Rebecca A Barron | Social Worker | 2122 S Main St, Hopkinsville, KY 42240-1758 | 2008-04-02 |
| 1508995549 | Mary Fran Davis | Social Worker | 1715 S Virginia St, Suite B, Hopkinsville, KY 42240-3605 | 2007-03-05 |
| 1508949793 | Ashley Felts Boze | Social Worker | 737b North Drive, Hopkinsville, KY 42240-2620 | 2006-10-23 |
| 1619059243 | Cynthia Starling | Social Worker | 1910 S Virginia St Ste 208, Hopkinsville, KY 42240-6009 | 2006-10-20 |
| 1720054513 | Marda L. Godsey | Social Worker | 310 Ginnie Ln, Hopkinsville, KY 42240-4724 | 2006-02-23 |
| 1992770721 | Paula Bernice Hudson | Social Worker | 2675 Greenville Road, Hopkinsville, KY 42241-4074 | 2006-02-23 |
| Find all providers in HOPKINSVILLE | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.