KELLY MYERS (NPI# 1396191821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396191821 |
| Entity Type | Individual |
| Full Name | KELLY MYERS |
| Credential | LCSW |
| Practice Address |
120 W Broad St Blackstone VA 23824-1710 |
| Practice Telephone | 4342921104 |
| Practice Fax Number | 4342921134 |
| Mailing Telephone | 4342921104 |
| Mailing Fax Number | 4342921134 |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904009441 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002024 | Kelly Maryn Myers | Speech-Language Pathologist | 1799 Schifferstadt Blvd, Frederick, MD 21701-9100 | 2018-11-21 |
| 1356830343 | Kelly J Myers | Social Worker | 1706 Atlantic St Apt 3b, Melbourne Beach, FL 32951-2342 | 2018-05-04 |
| 1346860129 | Kelly Ann Myers | Massage Therapist | 598 Nw Hill St Ste B, Bend, OR 97703-2970 | 2020-04-21 |
| 1487216941 | Kelly Jo Myers | Social Worker | 202639 E County Road 42, Woodward, OK 73801-5442 | 2019-07-05 |
| 1972049567 | Kelly Myers | Case Manager/Care Coordinator | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2017-01-06 |
| 1992199301 | Kelly Myers | Counselor | 836 N 1375 W, Provo, UT 84604-3049 | 2015-03-24 |
| 1760771414 | Kelly Eugene Myers | Health Educator | 245 N Murray St, Banning, CA 92220-5528 | 2011-04-04 |
| 1740586601 | Kelly Erin Myers | Social Worker | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2011-02-09 |
| 1497080477 | Kelly M Myers | Social Worker | 38855 Hills Tech Dr, Suite 200, Farmington Hills, MI 48331-3421 | 2009-10-09 |
| 1538300843 | Kelly S Myers | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2009-03-16 |
| Street Address |
120 W BROAD ST |
| City | BLACKSTONE |
| State | VA |
| Zip Code | 23824-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376804120 | Starke Behavioral Health Services LLC | Non-emergency Medical Transport (VAN) | 120 W Broad St, Blackstone, VA 23824-1710 | 2012-06-07 |
| 1427404433 | Starke Behavioral Health Association Inc | Counselor | 120 W Broad St, Blackstone, VA 23824-1710 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447667753 | William White Jr. | Physician Assistant | Building 1876 Fort Pickett, Virginia Army National Guard, Blackstone, VA 23824 | 2014-07-18 |
| 1114248788 | Precious R. White | Physical Therapy Assistant | 703 Falls St., Blackstone, VA 23824 | 2010-06-18 |
| 1720224991 | Family Preservation Services, Inc | Community/Behavioral Health | 615, Blackstone, VA 23824 | 2008-12-18 |
| 1053440453 | Rhonda Daniels Wynder | Physician Assistant | Jfhq Medical Command, Bldg 306, Fort Pickett, VA 23824 | 2007-03-04 |
| 1578651097 | Commonwealth Vision Center P.C. | Optometrist | 1447 South Main Street, Blackstone, VA 23824 | 2006-10-10 |
| 1548293194 | Bon Secours-virginia Healthsource | Family Medicine | 213 N Main St, Blackstone, VA 23824 | 2006-07-08 |
| 1326038720 | Blackstone Life Care, LLC | Skilled Nursing Facility | 900 S Main St, Blackstone, VA 23824 | 2005-10-26 |
| 1134610918 | Bennett Logistics, LLC | Transportation Broker | 212 Gravatt Ave, Blackstone, VA 23824-1210 | 2018-05-28 |
| 1700266277 | Jan's Residential Homes | Community Based Residential Treatment Facility, Mental Illness | 307 N High St, Blackstone, VA 23824-1421 | 2015-05-31 |
| 1982670261 | James L. Bradshaw | Dentist | 131 N Main St, Blackstone, VA 23824-1423 | 2006-02-27 |
| Find all providers in zip 23824 | ||||
| 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 |
|---|---|---|---|---|
| 1407331457 | Christine Catherine Cardoza | Social Worker | 173 Main St, Blackstone, MA 01504-2232 | 2018-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780420 | Sharon Bixby | Social Worker | 10165 Meadows Rd, Locust Grove, VA 22508-9612 | 2020-11-08 |
| 1518568518 | Ruth Ilboudo | Social Worker | 15732 John Diskin Cir, Woodbridge, VA 22191-6550 | 2020-11-05 |
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1932700382 | Caitlin Duggan | Social Worker | 5712 Oak Knoll Rd, Midlothian, VA 23112-2400 | 2020-11-03 |
| 1285234021 | Sabrina Kafin Weiskind | Social Worker | 13221 Point Pleasant Dr, Fairfax, VA 22033-3508 | 2020-10-30 |
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1841890027 | Heather D Hiner | Social Worker | 735 Sanhill Dr, Lynchburg, VA 24502-4923 | 2020-10-28 |
| 1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSTONE |
| Zip Code | 23824 |
Please comment or provide details below to improve the information on KELLY MYERS.
| 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.