JENNIFER L DELOACH (NPI# 1245240811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245240811 |
| Entity Type | Individual |
| Full Name | JENNIFER L DELOACH |
| Credential | LCSW |
| Practice Address |
8609 Giant City Rd Suite F Carbondale IL 62902-6238 |
| Practice Telephone | 6183518226 |
| Mailing Telephone | 6183518226 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
SW1171 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
| Street Address |
8609 GIANT CITY RD SUITE F |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62902-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114200482 | Pamela K. Zeigler | Speech-Language Pathologist | 2880 Wolf Creek Road, Carbondale, IL 62902 | 2011-09-23 |
| 1043504541 | Melanie Wick Singer | Speech-Language Pathologist | 51 Carolyn Drive, #q, Carbondale, IL 62902 | 2011-06-02 |
| 1518286624 | Kaci Moeller | Physical Therapist | 2001e Creekwood, Carbondale, IL 62902 | 2010-05-28 |
| 1417173782 | Debra Lynn Braunling Mcmorrow | Psychologist | 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 | 2007-04-17 |
| 1942352083 | Damaris Miltenberger Language & Learning Center, Ltd | Speech-Language Pathologist | 301 S. Wall St., Suite B, Carbondale, IL 62902 | 2007-01-17 |
| 1013288968 | Jenny Moss Occupational Therapy Services, Inc. | Early Intervention Provider Agency | 7207 Grassy Rd, Carbondale, IL 62902-0465 | 2012-01-24 |
| 1114482734 | Erin Anderson | Occupational Therapy Assistant | 2595 S Wolf Creek Rd, Carbondale, IL 62902-0572 | 2019-02-07 |
| 1679749576 | Gina M. Hill | Student in an Organized Health Care Education/Training Program | 4269 Lager Ln, Carbondale, IL 62902-0970 | 2008-05-01 |
| 1649712829 | Carolyn Fasnacht | Student in an Organized Health Care Education/Training Program | 2775 Skyhawk Rd, Carbondale, IL 62902-1008 | 2016-11-05 |
| 1235627654 | Brandy S Smith | Behavioral Analyst | 136 Premier Ln, Carbondale, IL 62902-4101 | 2018-05-01 |
| Find all providers in zip 62902 | ||||
| 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 |
|---|---|---|---|---|
| 1598118291 | Junie Kacer | Social Worker | 23 Route 6 Roosevelt Hwy, Carbondale, PA 18407-1461 | 2016-07-18 |
| 1467824987 | Amanda Sneed | Social Worker | 1257 E Walnut St Ste 1, Carbondale, IL 62901-5003 | 2015-10-23 |
| 1487075354 | Laura Dreuth | Social Worker | 105 N Tower Rd, Carbondale, IL 62901-1930 | 2013-12-19 |
| 1598008781 | Shannon Casey Nelson | Social Worker | 802 S Skyline Dr, Carbondale, IL 62901-2406 | 2013-04-05 |
| 1679552590 | Carolee N Bier | Social Worker | 1110 Cedar Ct, Carbondale, IL 62901-5300 | 2006-01-10 |
| 1770585416 | John M Boget | Social Worker | 1250 Cedar Ct, Carbondale, IL 62901-5334 | 2005-08-12 |
| 1306488127 | Patricia Miller | Social Worker | 405 West Jackson, Carbondale, IL 62901 | 2019-10-14 |
| 1609424399 | Alexis Korbar | Social Worker | 2601 W Main St, Carbondale, IL 62901-1031 | 2019-08-27 |
| 1679041685 | Kirsten Anne Beyers | Social Worker | 2601 W Main St, Carbondale, IL 62901-1031 | 2018-11-07 |
| 1790253268 | Elsie Farough | Social Worker | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2018-11-02 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62902 |
Please comment or provide details below to improve the information on JENNIFER L DELOACH.
| 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.