MRS. MANDY KLEIN (NPI# 1306862966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306862966 |
| Entity Type | Individual |
| Full Name | MRS. MANDY KLEIN |
| Other Name | MRS. MANDY ERWIN |
| Credential | LCSW |
| Practice Address |
3205 Kirby Whitten 203 Suite D Bartlett TN 38134-2853 |
| Mailing Address |
3030 Brunswick Rd Bartlett TN 38133-4106 |
| Practice Telephone | 9014305009 |
| Practice Fax Number | 9012840527 |
| Mailing Telephone | 9015311950 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0000006270 | TN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2001-C | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUECROSS PROVIDER NUMBER | 5Y793 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 304 N 6th St, West Memphis, AR 723013221 | 8707027657 | 8707350621 |
| Street Address |
3205 KIRBY WHITTEN 203 SUITE D |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| 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 |
|---|---|---|---|---|
| 1356982342 | Elizabeth Litzinger Gillaspie | Social Worker | 3633 Appling Lake Dr, Bartlett, TN 38133-2705 | 2019-10-01 |
| 1043787401 | Tammy Davis | Social Worker | 5692 Crievewood Dr, Bartlett, TN 38135-1006 | 2018-10-24 |
| 1912459082 | Patricia Radley | Social Worker | 1312 Timberline Dr, Bartlett, IL 60103-1503 | 2016-10-25 |
| 1245621713 | Maria Wywialowski | Social Worker | 1247 Spaulding Rd, Bartlett, IL 60103-1248 | 2015-02-05 |
| 1932373040 | Carolyn Doyle | Social Worker | 1174 Pointsetta Ln, Bartlett, IL 60103-5831 | 2008-04-18 |
| 1174045256 | Dione Latrice Catron | Social Worker | 6520 Stage Rd, Bartlett, TN 38134-3808 | 2017-07-11 |
| 1710350962 | Annapoorna Ayyagari, LLC | Social Worker | 2784 Bartlett Blvd, Bartlett, TN 38134-4530 | 2015-11-10 |
| 1194048132 | Colleen Koncilja | Social Worker | 850 W Bartlett Rd Ste 14c, Bartlett, IL 60103-4454 | 2010-03-04 |
| 1942441894 | Karen P Reed | Social Worker | 6510 Stage Rd, Suite 3, Bartlett, TN 38134-3892 | 2009-03-23 |
| 1740449958 | Lakesha K. Jones | Social Worker | 7410 Memphis Arlington Rd, Bartlett, TN 38135-1908 | 2008-06-03 |
| Find all providers in BARTLETT | ||||
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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.