MRS. MALLORY DERRICK (NPI# 1376977330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376977330 |
| Entity Type | Individual |
| Full Name | MRS. MALLORY DERRICK |
| Credential | B.A. |
| Practice Address |
2410 Charlotte Ave Nashville TN 37203-1517 |
| Practice Telephone | 6153212575 |
| Practice Fax Number | 6153274536 |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2015-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2410 CHARLOTTE AVE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740457613 | Stephen Douglas Williams | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2008-05-10 |
| 1033681200 | Amy Marie Turner | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-12-27 |
| 1558833855 | Ryan Watlington | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-12-26 |
| 1477032472 | Emily Bird Cohen | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-08-09 |
| 1003302175 | Doris Bobbitt | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-07-02 |
| 1679069793 | Jerry C Watkins Jr. | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-07-02 |
| 1639662075 | Roslyn Revella Penn | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-06-11 |
| 1417445529 | Alexander Haney | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2018-04-24 |
| 1548711286 | Patricia Larsen | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2016-10-18 |
| 1013467182 | Kemba Turner | Counselor | 2410 Charlotte Ave, Nashville, TN 37203-1517 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| 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 |
|---|---|---|---|---|
| 1508489097 | Amy E Jackson | Social Worker | 102 Sloan Rd, Nashville, TN 37209-4636 | 2020-05-19 |
| 1982226445 | Caryn M Goldner | Social Worker | 4029 Graybar Ct, Nashville, TN 37215-1612 | 2020-05-07 |
| 1356962674 | Janet V Heilbronn | Social Worker | 2317 Fernwood Dr, Nashville, TN 37216-3531 | 2020-04-27 |
| 1306473897 | Jenna Davitt | Social Worker | 6007 Pennsylvania Ave, Nashville, TN 37209-1337 | 2020-03-24 |
| 1588297501 | Meredith Ley Wilson | Social Worker | 508 Basswood Ave, Nashville, TN 37209-1615 | 2020-02-18 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1477195113 | Meredith Steve | Social Worker | 4232 Hillsboro Pike, Nashville, TN 37215-3324 | 2019-10-15 |
| 1700445921 | Elizabeth Jovan Burton | Social Worker | 609 W Iris Dr, Nashville, TN 37204-3120 | 2019-06-11 |
| 1457919870 | Brian Arthur Edwards | Social Worker | 2828 Windemere Dr, Nashville, TN 37214-1735 | 2019-05-31 |
| 1114582103 | Sarah Andrus | Social Worker | 610 Sylvan Heights Way Apt 321, Nashville, TN 37209-4989 | 2019-05-05 |
| Find all providers in NASHVILLE | ||||
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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.