MELISSA JILL BROCK (NPI# 1508950858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508950858 |
| Entity Type | Individual |
| Full Name | MELISSA JILL BROCK |
| Other Name | MELISSA JILL PICKENS |
| Credential | LCSW |
| Practice Address |
926 W Oakland Ave Suite 226 Johnson City TN 37604-1445 |
| Practice Telephone | 4239290300 |
| Practice Fax Number | 4239268840 |
| Mailing Telephone | 4239290300 |
| Mailing Fax Number | 4239284563 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-04-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW3939 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149090 | Melissa Sue Brock | Nurse Practitioner | 139 Aaron Rd, West Monroe, LA 71292-3384 | 2020-06-17 |
| 1184001208 | Melissa Renee Brock | Acupuncturist | 10211 Sw Barbur Blvd Ste 105a, Portland, OR 97219-5934 | 2015-04-27 |
| 1073824884 | Melissa Leigh Brock | Physical Therapy Assistant | 701 Cashua Ferry Road--mcleod Darlington, Darlington, SC 29532-8488 | 2010-06-25 |
| 1598931040 | Melissa Y Brock | Nurse Practitioner | 2415 Directors Row, Suite C, Indianapolis, IN 46241-4940 | 2008-05-05 |
| 1902435456 | Melissa Elaine Brock | Nurse Practitioner | 2911 Medical Arts St Ste 10, Austin, TX 78705-3302 | 2020-04-06 |
| 1679041636 | Melissa Marie Brock | Licensed Psychiatric Technician | 679 S New Hampshire Ave, Los Angeles, CA 90005-1355 | 2018-11-08 |
| 1457735268 | Melissa Dawn Brock | Counselor | 2409 Homer Clayton Drive, Guntersville, AL 35976-2207 | 2015-07-13 |
| 1992042105 | Melissa Rhynes Brock | Counselor | 1310 Raeford Rd, Suite 2, Fayetteville, NC 28305-5085 | 2013-01-08 |
| 1780981472 | Melissa L Brock | Specialist/Technologist, Other | 5353 Reynolds St, Savannah, GA 31405-6015 | 2011-02-16 |
| 1932435435 | Melissa Brock | Social Worker | 1490 University Blvd, Hamilton, OH 45011-3305 | 2009-10-19 |
| Street Address |
926 W OAKLAND AVE SUITE 226 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588641138 | Marc A. Valley | Anesthesiology | 926 W Oakland Ave, 222, Johnson City, TN 37604-1445 | 2005-12-26 |
| 1336649748 | Christen Moseley | Counselor | 926 W Oakland Ave, Johnson City, TN 37604-1445 | 2018-02-13 |
| 1629583570 | Keshia Dunn | Counselor | 926 W Oakland Ave, Johnson City, TN 37604-1445 | 2017-12-13 |
| 1184150229 | Catalyst Health Solutions,llc | Clinic/Center | 926 W Oakland Ave, Suite 206, Johnson City, TN 37604-1445 | 2017-05-10 |
| 1427323013 | Collart Chiropractic LLC | Chiropractor | 926 W Oakland Ave, Suite 202, Johnson City, TN 37604-1445 | 2012-03-14 |
| 1891958047 | Janie Marie Haun | Chiropractor | 926 W Oakland Ave, Suite 202, Johnson City, TN 37604-1445 | 2008-07-08 |
| 1083765085 | Leslie Annette Kersey | Counselor | 926 W Oakland Ave, Suite 226, Johnson City, TN 37604-1445 | 2007-01-16 |
| 1992809909 | Blair Haren Hickman | Social Worker | 926 W Oakland Ave, Suite 226, Johnson City, TN 37604-1445 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1699256628 | Beth Evelyn Barber | Social Worker | 911 Millercrest Dr, Johnson City, TN 37604-4331 | 2018-08-27 |
| 1902258239 | Amber Street | Social Worker | 403 Princeton Rd Ste 2, Johnson City, TN 37601-2040 | 2016-07-11 |
| 1760833164 | Derek Shea Bowers | Social Worker | 207 N Boone St Ste 13, Johnson City, TN 37604-5659 | 2016-06-27 |
| 1952737785 | Carolyn Elaine Conerly | Social Worker | 1185 W Mountain View Rd, 2209, Johnson City, TN 37604-2523 | 2013-09-25 |
| 1265796072 | Peace of Mind Therapy Services | Social Worker | 207 Boone St, Suite 27, Johnson City, TN 37604-5603 | 2012-06-26 |
| 1326347311 | Jonathan Lynn Hartsell | Social Worker | 207 Boone Street, Suite 27, Johnson City, TN 37604 | 2011-03-16 |
| 1174838932 | Janie Allene Short | Social Worker | 306 W Holston Ave, Johnson City, TN 37604-5526 | 2010-08-17 |
| 1124254990 | Marylyn Beeson Bowman | Social Worker | 169 E Grand Ave, Apt 101, Johnson City, TN 37601-5609 | 2009-06-06 |
| 1336312685 | Lydia Pipes Roane | Social Worker | 703 Hiwassee Hill Dr, Johnson City, TN 37601-7603 | 2008-04-08 |
| 1295954543 | Sharon L Moss | Social Worker | 175 Wyok Rd, Johnson City, NY 13790-4223 | 2007-04-25 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on MELISSA JILL BROCK.
| 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.