JESSICA HERNDON (NPI# 1326662941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326662941 |
| Entity Type | Individual |
| Full Name | JESSICA HERNDON |
| Credential | MSW |
| Practice Address |
7010 E Bogard Rd Wasilla AK 99654-4711 |
| Mailing Address |
Po Box 876741 Wasilla AK 99687-6741 |
| Practice Telephone | 9073734732 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730559733 | Jessica Herndon | Specialist/Technologist | 3131 S Main St, Moultrie, GA 31768-6925 | 2015-10-02 |
| Street Address |
7010 E BOGARD RD |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704247 | Jennifer Euler | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2006-11-08 |
| 1619577384 | Sophia Marie Mannhardt | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-10-30 |
| 1417555046 | Virginia Hughes | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-10-15 |
| 1376157289 | Cheryl Helaine Polk | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-09-08 |
| 1124632419 | Sydney Grisham | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-09-03 |
| 1689282907 | Macy Ann Dobbs | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-07-22 |
| 1386269439 | Alexandria Camille Palmer | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-06-15 |
| 1760007074 | Steven Ray | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-06-11 |
| 1821612177 | Nicholas Ian Carter | Peer Specialist | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-06-02 |
| 1235752007 | Erica Yolanda Steele | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382981 | Jaimie M Church | Social Worker | 6100 W Robin Hood Lane, Wasilla, AK 99623 | 2018-07-02 |
| 1598270175 | Diana Ivonne Aumavae | Social Worker | 4320 E Cobblestone Dr, Wasilla, AK 99654-7893 | 2017-12-05 |
| 1043580525 | Melissa Nicholl Hilty | Social Worker | 500 E Swanson Ave Ste 9, Wasilla, AK 99654-7197 | 2011-12-30 |
| 1073747531 | Angela Patrice Day | Social Worker | 545, 591 S Knik Goose Bay Road, Wasilla, AK 99654 | 2009-05-12 |
| 1639372097 | Natasha Nicole Roush | Social Worker | 1171 S Kgb Rd, Ste 700, Wasilla, AK 99654 | 2007-06-06 |
| 1255950341 | Tracey Ann Fugett | Social Worker | 1365 E Parks Hwy, Wasilla, AK 99654-8298 | 2020-04-09 |
| 1205484045 | Courtney Marie Beebe | Social Worker | 133 E Swanson Ave, Wasilla, AK 99654-7025 | 2019-08-26 |
| 1851750517 | Tiffany Danforth | Social Worker | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2016-02-23 |
| 1295156156 | Mary Katherine A Dombroski | Social Worker | 301 E Danna Ave, Wasilla, AK 99654-6422 | 2013-12-19 |
| 1851736516 | Kiana Suzanna Hiler | Social Worker | 231 E Swanson Ave, Suite 25b, Wasilla, AK 99654-7056 | 2013-05-07 |
| Find all providers in WASILLA | ||||
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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.