CHARLES EARL EVERETT III (NPI# 1386242386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386242386 |
| Entity Type | Individual |
| Full Name | CHARLES EARL EVERETT III |
| Other Name | MR. CHARLES E EVERETT III |
| Credential | LCSW |
| Practice Address |
2501 W William Cannon Dr Austin TX 78745-5281 |
| Mailing Address |
9009 Great Hills Trl Apt 2021 Austin TX 78759-7145 |
| Practice Telephone | 5123449189 |
| Mailing Telephone | 5126696219 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
62189 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820531 | Charles Everett | Technician | 248 Straight Run Rd, Orma, WV 25268-8712 | 2020-10-27 |
| 1659649218 | Charles John Everett | Ophthalmology | 409 Seneca Ave, Huron, OH 44839-1949 | 2011-12-09 |
| 1063890150 | Charles Edward Everett IIi | Case Manager/Care Coordinator | 2600 W 9th St, Chester, PA 19013-2040 | 2015-05-11 |
| 1760791206 | Charles A Everett | Pharmacist | 5153 Sunset Lake Rd, Apex, NC 27539-8792 | 2010-10-01 |
| 1316147382 | Charles Knox Everett | Internal Medicine | 1720 El Camino Real, Suite 150, Burlingame, CA 94010-3231 | 2007-07-18 |
| 1144334079 | Charles Willard Everett | Anesthesiology | 338 Harris Hill Rd, Suite 207, Williamsville, NY 14221-7407 | 2006-08-18 |
| Street Address |
2501 W WILLIAM CANNON DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-5281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809163 | Sandra Ribbeck | Nurse Practitioner | 2501 W William Cannon Dr, Suite 401, Austin, TX 78745-5253 | 2005-05-23 |
| 1720565005 | Benjamin S Johnson | Marriage & Family Therapist | 2501 W William Cannon Dr, Bldg 6 Ste A, Austin, TX 78745 | 2018-07-19 |
| 1619487022 | Elizabeth Dooshima Mabonga | Counselor | 2501 W William Cannon Dr, Austin, TX 78745-5281 | 2017-10-11 |
| 1609390707 | Ashley L Hall | Physical Therapist | 2501 W William Cannon Dr, Austin, TX 78745-5281 | 2017-07-31 |
| 1407383821 | Rebecca Kalomiris | Social Worker | 2501 W William Cannon Dr, Austin, TX 78745-5281 | 2017-05-16 |
| 1679007165 | Patricia Kirksey | Social Worker | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2017-04-12 |
| 1922530740 | Lauren Ryan | Counselor | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2017-03-30 |
| 1770027336 | Michelle Zadrozny | Social Worker | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2016-12-15 |
| 1407301666 | Toussaint Biondi | Physical Therapist | 2501 W William Cannon Dr, Bldg 1, Ste 102, Austin, TX 78745-5281 | 2016-08-17 |
| 1598127813 | Tricia Jokerst | Counselor | 2501 W William Cannon Dr, Building 6 Suite A, Austin, TX 78745-5281 | 2016-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| 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 |
|---|---|---|---|---|
| 1194326926 | Janai June Bryan | Social Worker | 2312 Western Trails Blvd Ste B204, Austin, TX 78745-1677 | 2020-11-06 |
| 1902405343 | Elizabeth Arthur Thomas | Social Worker | 13128 Amarillo Ave, Austin, TX 78729-7557 | 2020-10-17 |
| 1821695610 | My-emerge,pllc | Social Worker | 13740 Research Blvd # 0-4, Austin, TX 78750-1884 | 2020-10-05 |
| 1215544630 | Emily Hackett | Social Worker | 4131 Spicewood Springs Rd Ste 3, Austin, TX 78759-8661 | 2020-09-29 |
| 1386259364 | Stefanie Nikole Burke | Social Worker | 3607 S Lamar Blvd Apt 1420, Austin, TX 78704-0391 | 2020-09-15 |
| 1326653692 | Susan Malena Gallego | Social Worker | 106 Timber Ridge Cv, Austin, TX 78733-3136 | 2020-09-13 |
| 1588275663 | Armando Sanchez | Social Worker | 3811 Run of The Oaks St Apt C, Austin, TX 78704-7843 | 2020-08-12 |
| 1861002594 | Jeneke Lesak | Social Worker | 111 Ramble Ln Ste 120-d, Austin, TX 78745-2278 | 2020-08-06 |
| 1306456264 | Abby Lubran | Social Worker | 6906 Langston Dr, Austin, TX 78723-2220 | 2020-08-05 |
| 1639788516 | James Nichols | Social Worker | 12319 Willow Wild Dr, Austin, TX 78758-2725 | 2020-07-27 |
| Find all providers in AUSTIN | ||||
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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.