TERESA MACK (NPI# 1336774496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336774496 |
| Entity Type | Individual |
| Full Name | TERESA MACK |
| Practice Address |
370 Cline Ave Mansfield OH 44907-1057 |
| Practice Telephone | 6143391649 |
| Mailing Telephone | 6143391649 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2910854 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992092183 | Teresa Chanelle Mack | Licensed Practical Nurse | 8605 N Granville Rd, Apt.6, Milwaukee, WI 53224-2368 | 2011-07-07 |
| 1508274044 | Teresa Ann Mack | Counselor | 2451 N Mcmullen Booth Rd, Clearwater, FL 33759-1356 | 2014-07-29 |
| Street Address |
370 CLINE AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318275 | Sushil M Sethi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 370 Cline Ave, Mansfield, OH 44907-1057 | 2005-12-30 |
| 1841826922 | Linda Cole | Social Worker | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-20 |
| 1730715574 | Midwest Allergy Associates, Inc. | Allergy & Immunology | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-12 |
| 1730714700 | Angela Peters | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1669007720 | Dianne Harris-buettner | Counselor | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1497395222 | Ashley Canankamp | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-09 |
| 1396384434 | Lauren Colleen Bates | Physician Assistant | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-06 |
| 1952771081 | James L Saltzgiver Jr Dds Inc | Durable Medical Equipment & Medical Supplies | 370 Cline Ave, Mansfield, OH 44907-1057 | 2015-10-01 |
| 1417191636 | Mansfield Plastic Surgery, LLC | Clinic/Center | 370 Cline Ave, Mansfield, OH 44907-1057 | 2009-05-01 |
| 1841497724 | Philip W. Walter | Dentist | 370 Cline Ave, Mansfield, OH 44907-1057 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744121 | Roshalene Mary Bodden | Case Manager/Care Coordinator | 792 S Main St Ste 102a, Mansfield, MA 02048-3137 | 2020-06-15 |
| 1891315156 | Jessica Priscilla Morgan | Case Manager/Care Coordinator | 6960 Dick Price Rd, Mansfield, TX 76063-5288 | 2020-04-16 |
| 1558996983 | Courtney Ruth Richmond | Case Manager/Care Coordinator | 1384 Cottonbelt Rd, Mansfield, LA 71052-6533 | 2020-03-05 |
| 1306479118 | Roberta Doklovic | Case Manager/Care Coordinator | 370 Cline Ave Unit B, Mansfield, OH 44907-1057 | 2020-02-20 |
| 1376104216 | Monica Hubbard | Case Manager/Care Coordinator | 370 Cline Ave Bldg B, Mansfield, OH 44907-1057 | 2019-06-21 |
| 1447818638 | Gertrude N Nwokorie | Case Manager/Care Coordinator | 1315 Grayhawk Dr, Mansfield, TX 76063-5555 | 2019-06-03 |
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1598264996 | Rebecca Anthony | Case Manager/Care Coordinator | 1768 Binning Rd, Mansfield, LA 71052-4818 | 2018-02-12 |
| 1871009647 | Ryan M. Finley | Case Manager/Care Coordinator | 711 Scholl Rd, Mansfield, OH 44907-1571 | 2017-12-15 |
| 1073065793 | Emily Owens | Case Manager/Care Coordinator | 206 Roach St, Mansfield, LA 71052-2826 | 2016-10-28 |
| Find all providers in MANSFIELD | ||||
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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.