RILEY CAUDILL CORNELISON (NPI# 1528551371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528551371 |
| Entity Type | Individual |
| Full Name | RILEY CAUDILL CORNELISON |
| Credential | LLMSW |
| Practice Address |
1200 N West Ave Ste 300 Jackson MI 49202-2174 |
| Mailing Address |
2535 Kate St Holt MI 48842-9751 |
| Practice Telephone | 5177891234 |
| Practice Fax Number | 5177407040 |
| Mailing Telephone | 5178030846 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5126 W Grand River Ave Ste B, Lansing, MI 489069124 | 5175802225 |
| Street Address |
1200 N WEST AVE STE 300 |
| City | JACKSON |
| State | MI |
| Zip Code | 49202-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447436662 | Kyle Lee Rasmussen | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2008-01-17 |
| 1275147894 | Sulafa Hassan Elshowaya | Dietitian, Registered | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2020-09-01 |
| 1720605694 | Shelby Leigh Havens | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2020-06-26 |
| 1497397046 | Jasmine Erica Jones | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-10-16 |
| 1538718721 | Olivia Jewell | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2174 | 2019-09-10 |
| 1922656826 | Lauren Alexandria Steers | Counselor | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-09-04 |
| 1184288433 | Nathan Michael Horton | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-04-23 |
| 1376008045 | Roxanne Waldron | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2019-02-06 |
| 1063983781 | Ebony Hicks | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2018-12-06 |
| 1104393792 | Shayla Nicole Mccray | Social Worker | 1200 N West Ave Ste 300, Jackson, MI 49202-2180 | 2018-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
| 1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
| 1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
| 1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
| 1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
| 1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
| 1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
| 1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
| 1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
| 1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
| Find all providers in zip 49202 | ||||
| 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 |
|---|---|---|---|---|
| 1013518430 | Millie Mitchell | Social Worker | 321 Woodland Dr, Jackson, AL 36545-2438 | 2020-11-03 |
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1760098487 | Dominique Yvette Thomatis-williams | Social Worker | 4 Creekwood Pl, Jackson, MS 39211-2929 | 2020-09-17 |
| 1417567215 | Angela Edward | Social Worker | 413 Seymour Ave, Jackson, MI 49202-3562 | 2020-08-06 |
| 1952926677 | Kayleen Marie Shaw | Social Worker | 4152 County Road 436, Jackson, MO 63755-8411 | 2020-06-09 |
| 1538798327 | Willie Patrice Jenkins | Social Worker | 108 Parks Rd, Jackson, MS 39212-9626 | 2020-04-03 |
| 1184251555 | Yasmeen Patricia Eichelberger | Social Worker | 510 George St, Ste 201, Jackson, MS 39202-3027 | 2020-03-25 |
| 1902431612 | Harriet Phyllis Kazansky | Social Worker | 4 Hazeltine Ln, Jackson, NJ 08527-4045 | 2020-03-03 |
| 1750915229 | Kacey Pepin | Social Worker | 3027 Wildwood Ave, Jackson, MI 49202-3938 | 2020-02-24 |
| 1831729433 | Rachel Kornilakis | Social Worker | 729 W Michigan Ave # 200, Jackson, MI 49201-1920 | 2020-01-22 |
| Find all providers in JACKSON | ||||
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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.