STACY PUTNAM (NPI# 1285135020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285135020 |
| Entity Type | Individual |
| Full Name | STACY PUTNAM |
| Credential | MSW |
| Practice Address |
4422 E Columbus Dr Tampa FL 33605-3233 |
| Mailing Address |
10601 Gandy Blvd N Apt 2217 St Petersburg FL 33702-1483 |
| Practice Telephone | 8133844033 |
| Mailing Telephone | 2392730320 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
104C0700X | FL | Behavioral Health & Social Service Providers |
| Street Address |
4422 E COLUMBUS DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33605-3233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194835801 | Jolene Jolene De La Gardelle | Counselor | 4422 E Columbus Dr, Tampa, FL 33605 | 2006-08-30 |
| 1184257917 | Justin Brent Rose | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2020-02-20 |
| 1578194353 | Carmen Delia Rosa | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2020-01-30 |
| 1619514858 | Cliford Cineas | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-12-06 |
| 1124587795 | Maria Josefina Valeri | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-03-13 |
| 1821556523 | Aime Cristina Tejeda De Matos | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-03-12 |
| 1598221293 | David Lieberson | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2019-02-18 |
| 1366947640 | Cynthia Noemi Aleman | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2018-03-28 |
| 1033610902 | Donetta Patrice Levins | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2018-02-26 |
| 1699276584 | Alicia Lynn Dmochowski | Counselor | 4422 E Columbus Dr, Tampa, FL 33605-3233 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| 1326597949 | Sunstate Nephrology& Hypertension, LLC | Internal Medicine | 1922 E 4th Ave Ste A, Tampa, FL 33605 | 2016-09-23 |
| 1063836781 | Yetey Enterprises Inc | Assisted Living Facility | 3213 E 11th Ave, Tampa, FL 33605 | 2014-02-17 |
| 1275972903 | Tristin Andrew Zorn | Physical Therapy Assistant | 1803 E 3rd Ave, Tampa, FL 33605 | 2013-06-15 |
| 1184069213 | Jarvis A. Hodges | Counselor | 4422 E. Columbus Dr, Tampa, FL 33605 | 2013-05-02 |
| 1104164268 | Diana Marie Smith-scriven | Social Worker | 4422 East Columbus Drive, Tampa, FL 33605 | 2013-01-24 |
| 1699081943 | Gary L Howell | Psychologist | 2109 E Palm Ave Ste 201, Tampa, FL 33605 | 2010-08-25 |
| 1154555431 | Arthritis Pain Solutions LLC | Durable Medical Equipment & Medical Supplies | 1614 E 14th Ave, Tampa, FL 33605 | 2009-05-14 |
| 1891968715 | Deepa Dasani | Counselor | 4422 E. Columbus Drive, Tampa, FL 33605 | 2008-04-11 |
| 1811016058 | Peter A Gorski | Pediatrics | Children's Board of Hillsborough County, 1002 E. Palm Ave, Tampa, FL 33605 | 2007-03-28 |
| Find all providers in zip 33605 | ||||
| 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 |
|---|---|---|---|---|
| 1598365157 | Raenequa Baker | Social Worker | 5118 N 56th St Ste 111, Tampa, FL 33610-5440 | 2020-10-31 |
| 1851999429 | Jasmine Torres | Social Worker | 2807 W Busch Blvd, Tampa, FL 33618-4562 | 2020-10-15 |
| 1396350310 | Melania Jean Macip-billbe | Social Worker | 1924 Inner Oak Cir Apt 302, Tampa, FL 33619-7042 | 2020-09-15 |
| 1194339663 | Erin Mcentegart | Social Worker | 4719 W Fair Oaks Ave, Tampa, FL 33611-2117 | 2020-09-02 |
| 1144832213 | Holly J Wilson | Social Worker | 19194 Lake Audubon Dr, Tampa, FL 33647-3232 | 2020-08-20 |
| 1093327504 | Compassionate Counseling of Tampa Bay | Social Worker | 2702 S Beach Dr, Tampa, FL 33629-7503 | 2020-08-18 |
| 1396356192 | Silvia Ximena Perez | Social Worker | 7405 Albany Dr, Tampa, FL 33625-3803 | 2020-08-14 |
| 1164033080 | Tammy J Clevenger | Social Worker | 215 W Verne St, Tampa, FL 33606-2324 | 2020-08-13 |
| 1548878028 | Odat Coaching & Counseling | Social Worker | 812 W Mlk Blvd, Tampa, FL 33603-3338 | 2020-07-21 |
| 1205454329 | Amanda Jennings Farris | Social Worker | 611 S Glen Ave, Tampa, FL 33609-4607 | 2020-07-07 |
| Find all providers in TAMPA | ||||
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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.