ELIZABETH ANNE MCCORMICK (NPI# 1336460286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336460286 |
| Entity Type | Individual |
| Full Name | ELIZABETH ANNE MCCORMICK |
| Credential | LCSW |
| Practice Address |
2144 Bonita Way S St Petersburg FL 33712-4218 |
| Practice Telephone | (727) 415-1808 |
| Mailing Telephone | (727) 415-1808 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW9908 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002440700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 379 6th Ave W, Bradenton, FL 342058820 | 9417824100 | 9417824101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306137898 | Elizabeth Ann Mccormick | Licensed Practical Nurse | 15918 State Rd 30, Constable, NY 12926 | 2011-05-02 |
| 1003451790 | Elizabeth Golian Mccormick | Speech-Language Pathologist | 301 Mckennans Church Rd, Wilmington, DE 19808-1398 | 2019-11-17 |
| 1962871764 | Elizabeth Mccormick | Physical Therapist | 1417 8th Ave, Bethlehem, PA 18018-2256 | 2015-09-22 |
| 1104133347 | Elizabeth Mccormick | Pharmacist | 510 Kings Hwy, Shreveport, LA 71104-4444 | 2010-09-09 |
| 1922331222 | Elizabeth Mary Mccormick | Genetic Counselor, MS | 3615 Civic Center Blvd, Philadelphia, PA 19104-4318 | 2009-09-17 |
| 1790942001 | Elizabeth T Mccormick | Family Medicine | 1440 Madison Ave, New York, NY 10029-6508 | 2008-05-22 |
| 1518124270 | Elizabeth Shae Mccormick | Pharmacist | 8609 W Markham St, Suite A, Little Rock, AR 72205-2312 | 2008-05-20 |
| 1912183427 | Elizabeth Mary Mccormick | Speech-Language Pathologist | 6167 W Quaker St, Orchard Park, NY 14127-2640 | 2008-01-15 |
| Street Address |
2144 BONITA WAY S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33712-4218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663616 | Courtney Nicole West | Community Health Worker | 2335 22nd Ave S # 4, Saint Petersburg, FL 33712 | 2019-01-15 |
| 1053820266 | Tameka Flowers | Nurse Practitioner | 1719 Dayton Street South, Saint Petersburg, FL 33712 | 2017-09-20 |
| 1871030445 | Telesa Andrea Reddick | Specialist | 1407 22nd Street South, St Pete, FL 33712 | 2017-01-20 |
| 1104286715 | Touched By Faith Inc | Community/Behavioral Health | 2600 4th St, Saint Petersburg, FL 33712 | 2016-02-25 |
| 1457758476 | Chris Wendling | Pharmacist | 2620 Desoto Way S, St Petersburg, FL 33712 | 2014-11-20 |
| 1700217239 | Crystal Eva | Adult Companion | 2132 68th Ter S, St Petersburg, FL 33712 | 2013-12-10 |
| 1144598152 | Tien Minh Tran | Pharmacist | 3350 Central Avenue, St Petersburg, FL 33712 | 2011-12-05 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1588990063 | Garrett A Babbs | Physician Assistant | 1344 22nd St South, St Petersburg, FL 33712 | 2009-10-19 |
| 1225216260 | Charlie Waller Colquitt | Pharmacist | 1344 22nd St So, St Petersburg, FL 33712 | 2008-02-01 |
| Find all providers in zip 33712 | ||||
| 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 |
|---|---|---|---|---|
| 1073124582 | Nicholas Alexander Diaz | Social Worker | 1701 Central Ave Unit 251, St Petersburg, FL 33713-8971 | 2020-08-10 |
| 1255953444 | Olivia Bailey | Social Worker | 190 112th Ave N Apt 1129, St Petersburg, FL 33716-3269 | 2020-05-11 |
| 1417578295 | Grace Willms | Social Worker | 3530 1st Ave N Ste 111, St Petersburg, FL 33713-8422 | 2020-05-03 |
| 1730717638 | River Birch Wellness LLC | Social Worker | 4763 1st Ave S, St Petersburg, FL 33711-1005 | 2020-03-28 |
| 1740823400 | Resolution Today | Social Worker | 1700 Park St N Ste 109, St Petersburg, FL 33710-4300 | 2019-10-24 |
| 1992362735 | Rahim Samji | Social Worker | 3010 Fairfield Ave S, St Petersburg, FL 33712-1543 | 2019-05-28 |
| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1982109484 | Stefanie Von Ohlen LLC | Social Worker | 900 Central Ave # 302, St Petersburg, FL 33705-1647 | 2018-03-27 |
| 1306340112 | Premier Counseling and Wellness LLC | Social Worker | 3831 Tyrone Blvd N Ste 201c, St Petersburg, FL 33709-4114 | 2018-03-19 |
| 1184148439 | Christine Marie Pena | Social Worker | 209 9th Ave N, St Petersburg, FL 33701-1705 | 2017-07-28 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33712 |
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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.