CONFIDENTIAL COUNSELING SOLUTIONS LLC (NPI# 1417255720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417255720 |
| Entity Type | Organization |
| Organization Name | CONFIDENTIAL COUNSELING SOLUTIONS LLC |
| Practice Address |
2102 Forest Dr Suite 5 Gray TN 37615-3493 |
| Mailing Address |
2111 Fothergill Dr Evans GA 30809-7242 |
| Practice Telephone | 4238954053 |
| Practice Fax Number | 7063644340 |
| Mailing Telephone | 4238954053 |
| Mailing Fax Number | 7063644340 |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | MS. ANNE LEWIS-NASH (OWNER) |
| Authorized Official Telephone | 4238954053 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000005264 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2102 FOREST DR SUITE 5 |
| City | GRAY |
| State | TN |
| Zip Code | 37615-3493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841258001 | Sherry V. Attride | Counselor | 2102 Forest Dr, Suite # 5, Gray, TN 37615-3493 | 2006-05-03 |
| 1437170800 | Connie Marion Reynolds | Nurse Practitioner | 2102 Forest Dr, Suite 5, Gray, TN 37615 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568962983 | Clayton Kilgore | Pharmacist | 208 Suncrest St Unit 1, Gray, TN 37615 | 2018-02-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1750650875 | Medical Education Assistance Corporation | Pediatrics | 252 Sam Jenkins Rd, Attn: Dr. H. Patrick Stern, Gray, TN 37615 | 2011-12-19 |
| 1700018603 | Anna Lynne Deal | Nurse Practitioner | 119 Boone Ridge Dr., Ste. 201, Johnson City, TN 37615 | 2009-08-11 |
| 1285876631 | Leigh A Furman | Occupational Therapist | 253 Wiltshire Dr., Gray, TN 37615 | 2009-04-01 |
| 1811098908 | Fay Lynn Bembry | Nurse Practitioner | 119 Boone Ridge Drive Ste. 201, Johnson City, TN 37615 | 2006-09-25 |
| 1871528976 | Boones Creek Medical Pllc | Family Medicine | 2685 Boones Creek Road, Suite 104, Johnson City, TN 37615 | 2006-07-11 |
| 1568402048 | Joseph Vincent Pinyard Jr. | Family Medicine | 880 Boones Station Rd, Johnson City, TN 37615 | 2006-06-07 |
| 1548223084 | Pitchar Theerathorn | Internal Medicine | 119 Boone Ridge Drive, Suite 201, Johnson City, TN 37615 | 2006-04-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| Find all providers in zip 37615 | ||||
| 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 |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1992115976 | Caroline Bright | Social Worker | 31 Main St Ste 2, Gray, ME 04039-9452 | 2014-04-30 |
| 1639470974 | Amy L Ranco | Social Worker | 10 Libby Hill Rd, Gray New Gloucester High School, Gray, ME 04039-9712 | 2010-11-03 |
| 1992938468 | Melissa Jane Bowie | Social Worker | 15 Marshview Rd, Gray, ME 04039-9653 | 2009-08-31 |
| 1396975587 | Judith Colby-walker | Social Worker | 67 Shaker Rd Apt 7, Gray, ME 04039-9640 | 2009-07-22 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1952334021 | Christopher Aaron Counseling Center LLC | Social Worker | 67 Shaker Rd, Suite 7, Gray, ME 04039-9640 | 2006-07-09 |
| 1407884216 | Mark R. Olson | Social Worker | 56 Charlonate Dr, Gray, ME 04039-9764 | 2006-06-29 |
| 1457318263 | Sandra J Hinckley | Social Worker | 67 Shaker Rd Ste 7, Christopher Aaron Counseling Center, Gray, ME 04072-1536 | 2006-04-26 |
| 1720527914 | Olivia Testa | Social Worker | 306 Shaker Rd, Gray, ME 04039-9674 | 2017-02-21 |
| Find all providers in GRAY | ||||
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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.