MRS. JUDY P KING (NPI# 1356499826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356499826 |
| Entity Type | Individual |
| Full Name | MRS. JUDY P KING |
| Other Name | MS. JUDY K PANNELL |
| Credential | MSSW ACSW LCSW BCD D |
| Practice Address |
8134 Country Village Dr Suite 102 Cordova TN 38016 |
| Practice Telephone | 9017568398 |
| Practice Fax Number | 9017568701 |
| Mailing Telephone | 9017568398 |
| Mailing Fax Number | 9017568701 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C1550 | MS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SWL0000000623 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114386497 | Judy King | Counselor | 202 Nw Str Str 1, Ava, MO 65608 | 2016-02-16 |
| 1659429025 | Judy A King | Psychologist | 195 Wellington Rd, Garden City, NY 11530 | 2007-01-08 |
| 1073970471 | Judy King | Massage Therapist | 1424 Brown Trl, Suite C, Bedford, TX 76022-6499 | 2016-01-15 |
| 1770521957 | Judy A. King | Pathology | 1 Medical Center Drive, Health Sciences Center, Morgantown, WV 26506-9203 | 2006-06-02 |
| Street Address |
8134 COUNTRY VILLAGE DR SUITE 102 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427076991 | John Sherwood Leite | Psychologist | 8134 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | 2006-07-17 |
| 1821234758 | George Albert Tsirgiotis | Counselor | 8134 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | 2008-12-24 |
| 1841459641 | Barry Franklin Thompson | Psychiatry & Neurology | 8134 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | 2008-06-05 |
| 1821208042 | Catherine Marie Collins | Psychologist | 8134 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | 2007-05-23 |
| 1396754370 | Lisa L Clark | Psychologist | 8134 Country Village Dr, #102, Cordova, TN 38016 | 2006-08-07 |
| 1720006281 | Ricky Lane Mcphail | Psychologist | 8134 Country Village Dr, Suite 102, Cordova, TN 38016 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| 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 |
|---|---|---|---|---|
| 1699277822 | Curtisha Renee Taylor | Social Worker | 8210 Rockcreek Pl Apt 6, Cordova, TN 38016-7560 | 2018-03-03 |
| 1235640863 | Kathleen Engel | Social Worker | 65 Germantown Ct, Cordova, TN 38018-7290 | 2017-10-23 |
| 1417318262 | Samantha Padawer | Social Worker | 284 German Oak Dr, Cordova, TN 38018-7276 | 2016-03-08 |
| 1548677487 | Behavior Services of The Mid-south | Social Worker | 8349 Trinity Rd, Cordova, TN 38018-6761 | 2014-07-11 |
| 1134546104 | Deborah Underwood | Social Worker | 10103 Cross Hill Rd, Cordova, TN 38018-0140 | 2014-03-27 |
| 1649546821 | Wendy Lynn Holdsworth | Social Worker | 8820 Trinity Rd, Ste 202, Cordova, TN 38018-2735 | 2012-04-01 |
| 1013160555 | Jorge Ramirez | Social Worker | 1463 Sedona Dr, Cordova, TN 38016-6643 | 2008-10-28 |
| 1639346786 | Annette Kay Snider | Social Worker | 8921 Cedar Mills Cv, Cordova, TN 38016-6132 | 2008-05-08 |
| 1538351903 | Kingdom Ministries Counseling Center | Social Worker | 8245 Cordova Rd, Suite 100, Cordova, TN 38016-2086 | 2007-08-09 |
| 1396883757 | Madison Leigh Brunswick | Social Worker | 150 Timber Creek Dr Ste 2, Cordova, TN 38018-4236 | 2007-02-01 |
| Find all providers in CORDOVA | ||||
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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.