MR. CHRISTOPHER BRUCE ELLISON (NPI# 1396387064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396387064 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER BRUCE ELLISON |
| Practice Address |
809 19th Street Middlesboro KY 40965 |
| Mailing Address |
256 Pleasant Ridge Ln Woodbine KY 40771-7538 |
| Practice Telephone | 6062483042 |
| Mailing Telephone | 6062611722 |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265600670 | Christopher Byous Ellison | Counselor | 303 Leona Ave Apt A, Yerington, NV 89447-2748 | 2008-02-19 |
| 1922572460 | Christopher Ellison | Student in an Organized Health Care Education/Training Program | 2316 Walker Building, Auburn University, AL 36849-0001 | 2019-01-17 |
| 1457491565 | Christopher Winston Ellison | Pharmacist | 6900 Georgia Ave Nw, Bldg 2 Rm 2p02, Washington, DC 20307-0003 | 2007-02-07 |
| Street Address |
809 19TH STREET |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| 1023488665 | Cornerstone Christian Counseling | Community/Behavioral Health | 1759 North 25 Street, Middlesboro, KY 40965 | 2015-09-25 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403631 | Katie Phillips | Social Worker | 809 N 19th St, Middlesboro, KY 40965 | 2020-06-26 |
| 1013374065 | Chelsie Dian Hoskins | Social Worker | 809 N. 19th St., Middlesboro, KY 40965 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234278 | Meridith Leigh Mincy | Social Worker | 340 Legion Dr Unit 48, Lexington, KY 40504-2716 | 2020-10-28 |
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1003425059 | Adrina Marie Colasanti | Social Worker | 113 Shayla Ct, Rineyville, KY 40162-9418 | 2020-07-27 |
| 1497373781 | Katlin Kyle | Social Worker | 3815 Louisville Rd, Salvisa, KY 40372-9799 | 2020-07-13 |
| 1336763838 | Ursula Marie Mabrey | Social Worker | 6330 Old State Rd, Philpot, KY 42366-8806 | 2020-06-01 |
| 1659995207 | Hannah Rose Joyce | Social Worker | 400 Ring Rd Ste 155, Elizabethtown, KY 42701-8790 | 2020-05-29 |
| 1407479991 | Robin Conway | Social Worker | 10205 Garlanreid Pl, Louisville, KY 40223-2969 | 2020-05-19 |
| 1720614381 | Joan Marie Seals | Social Worker | 182 Roy Campbell Dr, Hazard, KY 41701-9407 | 2020-03-16 |
| 1093356388 | Amanda M Ortt | Social Worker | 529 Maysville Rd, Mt Sterling, KY 40353-9336 | 2019-10-08 |
| 1154970226 | Pamela Gay Baker | Social Worker | 4407 Jewell Ave, Louisville, KY 40212-2723 | 2019-09-10 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.