CONNIE RABIDEAUX (NPI# 1316570823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316570823 |
| Entity Type | Individual |
| Full Name | CONNIE RABIDEAUX |
| Other Name | CONNIE ROY |
| Practice Address |
101 W 2nd St Duluth MN 55802-2086 |
| Practice Telephone | 2187243122 |
| Mailing Telephone | 2187243122 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
26315 | MN | Behavioral Health & Social Service Providers |
| Street Address |
101 W 2ND ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55802-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316413982 | Dannillya Sperry | Behavior Technician | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-10-22 |
| 1750857595 | Chelsea Weber | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-10-19 |
| 1336621085 | Daniel Rossow | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-08-29 |
| 1437636297 | Marie Gibson Adebisi | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-25 |
| 1194211268 | Jacob Eric Nustad-peluso | Counselor | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-02 |
| 1275029357 | Cassidy Henriques | Behavior Technician | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-07-02 |
| 1508350703 | Claire Nicole Ruegemer | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-06-20 |
| 1245724186 | Stacey Kay Flom | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-06-14 |
| 1336639137 | Lydia Walker | Counselor | 101 W 2nd St, Duluth, MN 55802 | 2018-05-16 |
| 1306336516 | Brenda Caya | Social Worker | 101 W 2nd St, Duluth, MN 55802-2086 | 2018-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1134664311 | Amp Group, LLC | Counselor | 331 West Superior Street, Duluth, MN 55802 | 2016-12-27 |
| 1982151361 | Tiffany Riester | Counselor | 332 W Superior Street, Suite 300, Duluth, MN 55802 | 2016-09-02 |
| 1730635392 | Karina Krosbakken | Counselor | 332 W. Superior St., Suite 300, Duluth, MN 55802 | 2016-09-01 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1447679279 | Valerie Lou Shelton | Registered Nurse | 118 E Superior St., Duluth, MN 55802 | 2014-04-09 |
| 1285063115 | Brian Bergstedt | Counselor | 332 West Superior Street, Suite 300, Duluth, MN 55802 | 2013-11-01 |
| 1508135948 | Karen Dee Turner | Counselor | 202 W. Superior Street, Suite 700, Duluth, MN 55802 | 2011-12-14 |
| 1497023410 | Jean Barrie Mcbride | Pharmacist | 1131 East Superior Street, Duluth, MN 55802 | 2011-12-05 |
| 1194092304 | Diane Murphy Winship | Pharmacist | 1331 Superior St, Duluth, MN 55802 | 2011-11-17 |
| Find all providers in zip 55802 | ||||
| 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 |
|---|---|---|---|---|
| 1497366611 | Harvest Moon Mental Health Services, LLC | Social Worker | 1509 E Superior St Apt 203, Duluth, MN 55812-4402 | 2020-08-11 |
| 1235756784 | Allissa Rardin | Social Worker | 720 N Central Ave, Duluth, MN 55807-1305 | 2020-07-01 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1205348372 | Viloria C Jackson | Social Worker | 3611 Gray Pl, Duluth, GA 30096-3298 | 2017-10-30 |
| 1992225668 | Splady Therapy Services, LLC | Social Worker | 205 W 2nd St Ste 421, Duluth, MN 55802-1920 | 2017-06-23 |
| 1568999308 | Jim Gaylord | Social Worker | 6208 E Superior St, Duluth, MN 55804-2542 | 2017-05-11 |
| 1962860940 | Devon Maycock | Social Worker | 1027 N 8th Ave E, Duluth, MN 55805-1427 | 2016-02-04 |
| 1457718744 | Matheny Therapy & Consulting, LLC | Social Worker | 5241 N Shore Dr, Duluth, MN 55804-2911 | 2016-01-18 |
| 1689044620 | Mari Trine | Social Worker | 2421 London Rd, Duluth, MN 55812-2222 | 2015-10-02 |
| Find all providers in DULUTH | ||||
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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.