MS. TAUCHIANA JAHNALE VANDERBILT (NPI# 1417123845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417123845 |
| Entity Type | Individual |
| Full Name | MS. TAUCHIANA JAHNALE VANDERBILT |
| Credential | LCSW |
| Practice Address |
1530 N Gregson St Suite 3a Durham NC 27701-1155 |
| Practice Telephone | 9194161830 |
| Practice Fax Number | 9194168883 |
| Mailing Telephone | 9194161830 |
| Mailing Fax Number | 9194168883 |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C006041 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1530 N GREGSON ST SUITE 3A |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857816 | Gilfort, Atkinson & Associates | Social Worker | 1530 N Gregson St, Suite 3a, Durham, NC 27701-1155 | 2005-08-09 |
| 1568692127 | Full Potential Life LLC | Clinic/Center | 1530 N Gregson St, Suite 3-d, Durham, NC 27701-1155 | 2009-07-16 |
| 1417192949 | Independently Moving, LLC | Community/Behavioral Health | 1530 N Gregson St, Ste. 2b Bbt Building, Durham, NC 27701-1155 | 2008-12-12 |
| 1124214317 | Dominion Ministries | Community/Behavioral Health | 1530 N Gregson St, Suite 3d, Durham, NC 27701-1155 | 2007-09-20 |
| 1245425156 | Dominion Ministries | Community/Behavioral Health | 1530 N Gregson St, Suite 3d, Durham, NC 27701-1155 | 2007-09-13 |
| 1720273626 | Dominion Ministries | Community/Behavioral Health | 1530 N Gregson St, Suite 3d, Durham, NC 27701-1155 | 2007-09-13 |
| 1164617072 | Dominion Ministries | Community/Behavioral Health | 1530 N Gregson St, Suite 3d, Durham, NC 27701-1155 | 2007-09-13 |
| 1437344348 | Dominion Ministries | Community/Behavioral Health | 1530 N Gregson St, Suite 3d, Durham, NC 27701-1155 | 2007-09-13 |
| 1255526166 | Dominion Ministries | Community/Behavioral Health | 1530 N Gregson St, Suite 3d, Durham, NC 27701-1155 | 2007-09-13 |
| 1659573921 | Barbara B Fields | Social Worker | 1530 N Gregson St, Suite 3a, Durham, NC 27701-1155 | 2007-05-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| 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 |
|---|---|---|---|---|
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910984 | Tedra Cook | Social Worker | 313 Chestnut Oak Pl, Durham, NC 27704-5196 | 2020-10-21 |
| 1821695644 | Adam Tannenbaum | Social Worker | 1821 Hillandale Rd Ste 1b-154, Durham, NC 27705-2659 | 2020-10-05 |
| 1831706373 | Elena Plocek | Social Worker | 2617 Farthing St, Durham, NC 27704-4203 | 2020-09-29 |
| 1225643323 | Aisha S Lewis | Social Worker | 79 Willow Bridge Dr, Durham, NC 27707-5457 | 2020-09-15 |
| 1639781354 | Inner Knowing Clinical Therapy LLC | Social Worker | 117 Brown Rd, Durham, ME 04222-5213 | 2020-08-24 |
| 1730791765 | Katrina P Martin | Social Worker | 2511 N Roxboro St, Durham, NC 27704-4347 | 2020-08-20 |
| 1194337758 | Ashley Esry | Social Worker | 1728 Euclid Rd, Durham, NC 27713-2415 | 2020-08-17 |
| 1265050124 | Amber Cox | Social Worker | 3622 Lyckan Pkwy Ste 5007, Durham, NC 27707-2539 | 2020-07-08 |
| Find all providers in DURHAM | ||||
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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.