STOMPTHERAPY LLC (NPI# 1235585837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235585837 |
| Entity Type | Organization |
| Organization Name | STOMPTHERAPY LLC |
| Practice Address |
201 Duck Creek Ln Georgetown TX 78633-4114 |
| Practice Telephone | 8505437776 |
| Mailing Telephone | 8505437776 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | MR. GERALD DAVID NICKLEN (PRESIDENT STOMPTHERAPY, LLC) |
| Authorized Official Telephone | 8505437776 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
60420 | TX | Behavioral Health & Social Service Providers |
| Street Address |
201 DUCK CREEK LN |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78633-4114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098937 | Medsur One Telemedicine LLC | Nurse Practitioner | 110 Eisenhower Court (administrative Office Location), 1309 Coffeen Ave Ste 1200 Sheridan Wy 82801, Georgetown, TX 78633 | 2020-03-18 |
| 1467946384 | Majestic Healthcare, Pllc | Nurse Practitioner | 110 Eisenhower Ct, Georgetown, TX 78633 | 2018-06-15 |
| 1912419649 | Randalls Food & Drugs Lp | Durable Medical Equipment & Medical Supplies | 5721 Williams Dr, Georgetown, TX 78633 | 2017-11-03 |
| 1255783510 | Peter James Mcgrath | Physical Therapist | 4749 Williams Drive, Suite 335, Georgetown, TX 78633 | 2016-07-11 |
| 1316357346 | Cody Ryon Gomez | Internal Medicine | 3201 South Austin Ave, Suite 205, Georgetown, TX 78633 | 2014-04-29 |
| 1902130701 | Don Wayne Berry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 624 Rio Grand Loop, Georgetown, TX 78633 | 2009-09-25 |
| 1851567499 | Georgetown Pediatric Dentistry, LLC | Dentist | 4507 Williams Drive, Georgetown, TX 78633 | 2008-05-04 |
| 1215035845 | Saramma George | Family Medicine | 105 Wildwood Drive, Suite 105, Georgetown, TX 78633 | 2006-09-20 |
| 1104834258 | Mobile Cr Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4749 Williams Dr, Georgetown, TX 78633 | 2006-08-04 |
| 1619997350 | Kathryn E Holland | Counselor | 603 Chambers Creek Ct, Georgetown, TX 78633 | 2006-07-19 |
| Find all providers in zip 78633 | ||||
| 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 |
|---|---|---|---|---|
| 1295344489 | Haley Faye Price | Social Worker | 114 Brandywine Dr, Georgetown, KY 40324-1441 | 2020-07-24 |
| 1174166235 | Melissa L Gould LLC | Social Worker | 205 E University Ave Ste 151, Georgetown, TX 78626-6817 | 2019-10-22 |
| 1790326494 | Amy Renee Marino | Social Worker | 113 Whispering Wind Dr, Georgetown, TX 78633-4504 | 2019-10-03 |
| 1982162954 | Cassandra Kimberly Hesse | Social Worker | 101 W Cooperative Way Unit 238, Georgetown, TX 78626-8208 | 2019-03-07 |
| 1134604952 | Pamela J Corkum | Social Worker | 148 Jewett St, Georgetown, MA 01833-1814 | 2018-09-27 |
| 1346723178 | Deaton & Deaton Counseling | Social Worker | 215 Montgomery Ave, Georgetown, KY 40324-1247 | 2018-09-07 |
| 1013494731 | Elizabeth Anne Carroll | Social Worker | Penn Brook School 68 Elm St, Georgetown, MA 01833 | 2018-07-25 |
| 1811483944 | Katy Elizabeth Bruce | Social Worker | 1006 S Rock St # 102, Georgetown, TX 78626-5837 | 2018-07-01 |
| 1851847610 | Leticia Howell | Social Worker | 411 South Bedford Street, Georgetown, DE 19947 | 2016-08-31 |
| 1972987105 | Winn Community Health Center, Inc. | Social Worker | 4528 Hwy 500, Georgetown, LA 71432 | 2015-07-17 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78633 |
Please comment or provide details below to improve the information on STOMPTHERAPY LLC.
| 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.