KIM MICHELLE CHASE (NPI# 1407042336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407042336 |
| Entity Type | Individual |
| Full Name | KIM MICHELLE CHASE |
| Credential | LGSW-C |
| Practice Address |
21 N Hanson St Ste 99-d Easton MD 21601-3144 |
| Mailing Address |
29726 Penny Ln Easton MD 21601-4818 |
| Practice Telephone | 4107256965 |
| Mailing Telephone | 4107256965 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 104100000X | Social Worker | 16327 | MD | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Talbot St, Easton, MD 216013525 | 4108221018 | 4108205884 |
| Street Address |
21 N HANSON ST STE 99-D |
| City | EASTON |
| State | MD |
| Zip Code | 21601-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| 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 |
|---|---|---|---|---|
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1548895592 | A New Day- Family Behavioral Health Servcies,llc | Social Worker | 1733 Washington Blvd, Easton, PA 18042-4622 | 2020-03-10 |
| 1487290714 | Elizabeth Jean Oconnor | Social Worker | 1919 Richmond Rd, Easton, PA 18040-8439 | 2019-11-21 |
| 1770054975 | Marisa Finocchio | Social Worker | 1808 Freemansburg Ave Apt B, Easton, PA 18042-5461 | 2018-12-16 |
| 1134605546 | Elizabeth A. Teboh | Social Worker | 1011 Northampton St # 201, Easton, PA 18042-4233 | 2018-07-18 |
| 1659874824 | Katharine L Petzold | Social Worker | 3 N Harrison St Ste 206, Easton, MD 21601-3146 | 2018-03-14 |
| 1265933477 | Lauren Marie Coughlin | Social Worker | 3735 Nazareth Rd Ste 102, Easton, PA 18045-8345 | 2018-02-22 |
| 1376082610 | Renew Wellness and Psychotherapy | Social Worker | 133 N 4th Street, Easton, PA 18042 | 2017-02-20 |
| 1750765319 | Jonathan S. Asayag | Social Worker | 215 W Lafayette St, Easton, PA 18042-1533 | 2015-07-14 |
| 1083006399 | Moneefah Jackson | Social Worker | 328 E Nesquehoning St, Easton, PA 18042-6753 | 2015-02-23 |
| Find all providers in EASTON | ||||
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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.