EMMA IME ANDEM (NPI# 1336496256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336496256 |
| Entity Type | Individual |
| Full Name | EMMA IME ANDEM |
| Practice Address |
2944 Penn Ave Ste L Marianna FL 32448-2741 |
| Mailing Address |
Po Box 844 Marianna FL 32447-0844 |
| Practice Telephone | 8505265500 |
| Practice Fax Number | 8505265536 |
| Mailing Telephone | 8505579202 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2019-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 11297 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008993500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4400 River Forest Rd, Marianna, FL 324461718 | 8505579202 |
| Street Address |
2944 PENN AVE STE L |
| City | MARIANNA |
| State | FL |
| Zip Code | 32448-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790827285 | Kelly Ann Clana | Social Worker | 2944 Penn Ave Ste L, Marianna, FL 32448-2741 | 2007-02-13 |
| 1245899913 | Tanya Scroggins Gulledge | Social Worker | 2944 Penn Ave Ste L, Marianna, FL 32448-2741 | 2019-06-06 |
| 1063872869 | Priscilla Robinette I | Counselor | 2944 Penn Ave Ste L, Marianna, FL 32448-2741 | 2016-03-07 |
| 1760630156 | Judith Ann Hussey | Nurse Practitioner | 2944 Penn Ave Ste L, Marianna, FL 32448 | 2008-08-28 |
| 1659559235 | William K. Lanier | Social Worker | 2944 Penn Ave Ste L, Marianna, FL 32448-2741 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356690846 | Stephanie James Tolin | Counselor | 2499 Pennsylvania Ave, Marianna, FL 32448 | 2012-08-30 |
| 1518085414 | Barbara M Kavanagh | Counselor | 3459 Seminole Lane, Marianna, FL 32448 | 2007-03-27 |
| 1235105818 | Daniel E Bontrager | Chiropractor | 4439 Jackson St, Marianna, FL 32448 | 2006-02-24 |
| 1194918854 | Gentiva Health Services (certified), Inc. | Home Health | 2491 Commercial Park Dr, Marianna, FL 32448-2521 | 2007-08-24 |
| 1265541536 | Elyssa Waller | Chiropractor | 2525 Commercial Park Dr, Marianna, FL 32448-2522 | 2006-08-30 |
| 1962429340 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-07-16 |
| 1821698408 | Brandrail Brown | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2020-10-31 |
| 1437554623 | William Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2014-10-30 |
| 1528279742 | Douglas Carlton Neel Jr. | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2007-05-28 |
| 1851451462 | William Stan Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-12-12 |
| Find all providers in zip 32448 | ||||
| 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 |
|---|---|---|---|---|
| 1194080895 | Dominica J. Debrauwere Lcsw, Dcsw, Inc. | Social Worker | 4284 Kelson Ave., Marianna, FL 32446-6399 | 2012-07-09 |
| 1518248186 | Rochelle Powell | Social Worker | 4540 Lafayette St Ste C, Marianna, FL 32446-3236 | 2011-09-08 |
| 1629391792 | Iola Carolyne Mccloud | Social Worker | 2944 Penn Ave, Marianna, FL 32448-2741 | 2010-03-03 |
| 1902931371 | Linda D. Youmas | Social Worker | 6024 Highway 90, Marianna, FL 32446-5157 | 2007-02-23 |
| 1790827285 | Kelly Ann Clana | Social Worker | 2944 Penn Ave Ste L, Marianna, FL 32448-2741 | 2007-02-13 |
| 1871110155 | Cynthia Ann Johnson | Social Worker | 4540 Lafayette St Ste C, Marianna, FL 32446-3236 | 2020-07-02 |
| 1245899913 | Tanya Scroggins Gulledge | Social Worker | 2944 Penn Ave Ste L, Marianna, FL 32448-2741 | 2019-06-06 |
| 1659559235 | William K. Lanier | Social Worker | 2944 Penn Ave Ste L, Marianna, FL 32448-2741 | 2008-02-05 |
| 1265655476 | Sherri Lynne Stone | Social Worker | 4094 Lafayette St, Marianna, FL 32446-5648 | 2007-04-10 |
| 1417939372 | Bennett Samuels | Social Worker | 4094 Lafayette St, Marianna, FL 32446-5648 | 2005-11-16 |
| Find all providers in MARIANNA | ||||
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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.