NIKOLE JUSTICE (NPI# 1518424597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518424597 |
| Entity Type | Individual |
| Full Name | NIKOLE JUSTICE |
| Credential | LCSW |
| Practice Address |
6665 State Route 146 E Vienna IL 62995-3122 |
| Mailing Address |
403 Park Ln Herrin IL 62948-4311 |
| Practice Telephone | 6186588331 |
| Mailing Telephone | 6187135024 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149020003 | IL | Behavioral Health & Social Service Providers |
| Street Address |
6665 STATE ROUTE 146 E |
| City | VIENNA |
| State | IL |
| Zip Code | 62995-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942488978 | Alfonso Chy David | Internal Medicine | 6665 State Route 146 E, Vienna, IL 62995-3122 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538663463 | Gregory M Blakely | Physical Therapist | 811 North 1st Street, Vienna, IL 62995 | 2018-03-23 |
| 1194101196 | Ashley Laws | Counselor | 408 E. Vine, Vienna, IL 62995 | 2015-08-03 |
| 1477981421 | Amanda Endrizzi | Physician Assistant | 803 North 1st Street, Vienna, IL 62995 | 2013-10-29 |
| 1780831453 | Family Counseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 904 Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1528215290 | Family Counseling Center, Inc. | Clinic/Center | 406 East Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1770676207 | Martha Jane Crawford | Social Worker | 408 E Vine, Vienna, IL 62995 | 2006-10-02 |
| 1235147216 | Rachel Ann Edmonds | Physical Therapist | 811 N 1st Street, Vienna, IL 62995 | 2006-08-04 |
| 1376572552 | Bode Drug Inc | Pharmacy | 803 and One Half N First St, Vienna, IL 62995 | 2006-07-01 |
| 1578557476 | Roger Franklin High | Chiropractor | 122 N 4th St, Vienna, IL 62995 | 2005-09-07 |
| 1932263332 | Rural Health, Inc. | Clinic/Center | 803 N 1st St, Vienna, IL 62995 | 2006-12-20 |
| Find all providers in zip 62995 | ||||
| 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 |
|---|---|---|---|---|
| 1730665456 | Amy Klass Coyle | Social Worker | 8402 Berea Dr, Vienna, VA 22180-7103 | 2018-07-16 |
| 1245732494 | Melaney Cox | Social Worker | 115 Beulah Rd Ne Ste 200b, Vienna, VA 22180-4780 | 2018-03-04 |
| 1528570413 | Christa Jeutter Davidson | Social Worker | 127 Park St Ne, Vienna, VA 22180-4602 | 2017-10-31 |
| 1265885016 | Resa Roberie Combs | Social Worker | 2725 Pembsly Dr, Vienna, VA 22181-6157 | 2016-07-18 |
| 1841688074 | Stephanie Herman | Social Worker | 207 Cherry St Sw, Vienna, VA 22180-5703 | 2014-12-22 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1790122737 | Amber L Miller | Social Worker | 408 Park St Se, Vienna, VA 22180-5805 | 2013-05-31 |
| 1073851861 | Peter Steinberg | Social Worker | 8130 Boone Blvd Ste 250, Vienna, VA 22182-2640 | 2013-01-29 |
| 1508110230 | Maura Ann Levesque | Social Worker | 2225 Carmichael Dr, Vienna, VA 22181-3222 | 2012-11-02 |
| 1053681288 | Sarah Hagen | Social Worker | 129 Park St Ne Ste 10a, Vienna, VA 22180-4606 | 2012-01-04 |
| Find all providers in VIENNA | ||||
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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.