MICHAEL ABBOTT (NPI# 1396955530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396955530 |
| Entity Type | Individual |
| Full Name | MICHAEL ABBOTT |
| Credential | LCSW |
| Practice Address |
1 Trillium Way Corbin KY 40701-8426 |
| Mailing Address |
2700 Stanley Gault Pkwy Ste 129 Louisville KY 40223-5176 |
| Practice Telephone | 6065238521 |
| Mailing Telephone | 5022534900 |
| Mailing Fax Number | 5024895751 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0641 | KY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1965 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100317660 | 05 | |
| KY | RR MEDICARE | P01458979 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073015947 | Michael Lee Abbott | Massage Therapist | 1113 Murray Townsend Road, Darien, GA 31305-2721 | 2018-03-06 |
| 1851405583 | Michael A Abbott | Dentist | 1940 Braeburn Drive, Salem, VA 24153 | 2006-08-19 |
| 1942815915 | Michael James Abbott II | Physician Assistant | 4815 Liberty Ave Ste 156, Pittsburgh, PA 15224-2156 | 2020-09-15 |
| 1326668955 | Michael Nelson Abbott | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 | 2020-04-23 |
| 1346498151 | Michael Abbott | Counselor | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2008-09-04 |
| 1336179928 | Michael J Abbott | Family Medicine | 100 Highline Dr, East Wenatchee, WA 98802-5341 | 2006-07-03 |
| 1720038573 | Michael Abbott | Optometrist | 7777 Hennessy Blvd, Suite 4000, Baton Rouge, LA 70808-4300 | 2006-05-11 |
| Street Address |
1 TRILLIUM WAY |
| City | CORBIN |
| State | KY |
| Zip Code | 40701-8426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659377950 | Mitchell Carl | Internal Medicine | 1 Trillium Way, Ste 302, Corbin, KY 40701-8426 | 2005-06-22 |
| 1114538204 | Kimberly Thompson | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-08-12 |
| 1780293027 | Christina Ann North-woods | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-22 |
| 1366050395 | Allison Elizabeth Lebron | Nurse Practitioner | 1 Trillium Way, Corbin, KY 40701-8426 | 2020-07-15 |
| 1558984443 | Brittany Belcher | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-26 |
| 1891318192 | Bridgette Nichole Smallwood | Physician Assistant | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-05-20 |
| 1417583659 | Regina Upchurch | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-19 |
| 1396371795 | Kristin Cox | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-17 |
| 1972137701 | Cassandra Petrey | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| 1215561055 | Amanda Alred Elza | Pharmacist | 1 Trillium Way, Corbin, KY 40701-8727 | 2020-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| 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 |
|---|---|---|---|---|
| 1467546200 | Psychology Center for The Cumberlands | Social Worker | 1200 East Master Street, Suite 3, Corbin, KY 40701 | 2006-10-03 |
| 1043789811 | Benjamin Bess | Social Worker | 1 Trillium Way, Corbin, KY 40701-8727 | 2018-11-21 |
| 1205330172 | Joy L Herbert-neal | Social Worker | 1 Trillium Way, Corbin, KY 40701-8727 | 2018-03-23 |
| 1407395817 | Therapeutic Solutions of Corbin, LLC | Social Worker | 415 S Main St, Corbin, KY 40701-1459 | 2017-02-17 |
| 1821543786 | Melissa Lynne Mcintosh | Social Worker | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2016-08-22 |
| 1639520166 | Tina L Kun | Social Worker | 1203 American Greeting Card Rd, Corbin, KY 40701 | 2016-06-27 |
| 1194108019 | Stacy Lynn Mayne | Social Worker | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2015-07-09 |
| 1144621566 | Carole Roxann Huffman | Social Worker | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2014-09-05 |
| 1437558293 | Misty April Nunn | Social Worker | 1203 American Greeting Card Rd, Corbin, KY 40701-4811 | 2014-08-18 |
| 1942623079 | Therapeutic Solutions | Social Worker | 415 S Main St, Corbin, KY 40701-1459 | 2014-01-24 |
| Find all providers in CORBIN | ||||
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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.