MRS. THERESE MARIE PETZOLD (NPI# 1528460110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528460110 |
| Entity Type | Individual |
| Full Name | MRS. THERESE MARIE PETZOLD |
| Credential | MSW, LCSW |
| Practice Address |
1224 Venable Ave Owensboro KY 42301-2756 |
| Practice Telephone | 2706852203 |
| Practice Fax Number | 2706896677 |
| Mailing Telephone | 2706852203 |
| Mailing Fax Number | 2706896677 |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2017-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 7063 | KY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
252907 | KY | Behavioral Health & Social Service Providers |
| Street Address |
1224 VENABLE AVE |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42301-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356383111 | Green River Regional Mental Health/mental Retardation Board, Inc. | Psychiatric Residential Treatment Facility | 1224 Venable Ave, Owensboro, KY 42301-2756 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124558002 | To The Max Behavior Therapy, LLC | Behavioral Analyst | 905 Griffith Avenue, Owensboro, KY 42301 | 2017-06-14 |
| 1558747014 | Kendall L Tapp | Counselor | 1925 Frederica St, Owensboro, KY 42301 | 2015-08-07 |
| 1104168210 | Behavior Associates, LLC | Psychologist | 3445 Wathens Xing Ste 104, Owensboro, KY 42301 | 2013-03-27 |
| 1285990259 | Jaime E Ford | Preventive Medicine | 1723 Windsor Ave., Owensboro, KY 42301 | 2012-04-04 |
| 1457637043 | Bliss United Dental Services Dba Owensboro Family Dentistry | Dentist | 4921 Goetz Dr., Owensboro, KY 42301 | 2011-10-26 |
| 1932483138 | Dennis Craig Hodges | Pharmacist | 2318 Frederica Street, Owensboro, KY 42301 | 2011-10-06 |
| 1225317381 | Donna Kay Ewing | Social Worker | 1925 Frederica St Ste 200, Owensboro, KY 42301 | 2011-08-08 |
| 1639489230 | Easycare Inc | Durable Medical Equipment & Medical Supplies | 5010 Back Square Drive, Owensboro, KY 42301 | 2010-10-15 |
| 1962727529 | Amy Martin | Physical Therapy Assistant | 2420 West Thrid Street, Owensboro, KY 42301 | 2010-04-07 |
| 1215163837 | Green River District Health Department | Public Health or Welfare | 5390 Hwy 56, Owensboro, KY 42301 | 2009-06-10 |
| Find all providers in zip 42301 | ||||
| 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 |
|---|---|---|---|---|
| 1336771484 | Shanna Kara Settle | Social Worker | 1300 Booth Ave, Owensboro, KY 42301-4540 | 2020-02-06 |
| 1922653260 | Christina Robin Donahue | Social Worker | 1100 Walnut St Ste 112, Owensboro, KY 42301-2956 | 2019-08-05 |
| 1881150241 | Chad Foster Counseling, LLC | Social Worker | 100 W 3rd St Ste 207, Owensboro, KY 42303-4135 | 2019-02-11 |
| 1346710167 | Owensboro Health Medical Group, Inc. | Social Worker | 811 E Parrish Ave Ste 102, Owensboro, KY 42303-3258 | 2018-12-05 |
| 1205337748 | Tina Patton | Social Worker | 920 Frederica St Ste 406, Owensboro, KY 42301-3079 | 2018-02-21 |
| 1225541535 | Liberty Powell | Social Worker | 1100 Walnut St Ste 14, Owensboro, KY 42301-2968 | 2017-11-08 |
| 1467964973 | Aha Connections, LLC | Social Worker | 1120 Griffith Ave, Owensboro, KY 42301-2812 | 2017-10-25 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1659763233 | Tara Beth Gann | Social Worker | 920 Frederica St Ste 211, Owensboro, KY 42301-3077 | 2015-02-19 |
| 1801210372 | Angela Brooks-green | Social Worker | 5278 Jones Rd, Owensboro, KY 42303-9766 | 2014-02-05 |
| Find all providers in OWENSBORO | ||||
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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.