MICHELLE KENNON (NPI# 1558893610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558893610 |
| Entity Type | Individual |
| Full Name | MICHELLE KENNON |
| Practice Address |
1900 E Main St Danville IL 61832-5100 |
| Mailing Address |
1908 Perryville Rd Cape Girardeau MO 63701-2425 |
| Practice Telephone | 2175545339 |
| Mailing Telephone | 6185281116 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2016025303 | MO | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149018519 | IL | Behavioral Health & Social Service Providers |
| Street Address |
1900 E MAIN ST |
| City | DANVILLE |
| State | IL |
| Zip Code | 61832-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349799 | Inwha Kim | Internal Medicine | 1900 E Main St, Danville, IL 61832-5100 | 2005-07-11 |
| 1033719208 | Shanon Imena Hardin | Prosthetist | 1900 E Main St, Danville, IL 61832-5100 | 2020-10-27 |
| 1952918435 | Nell Marie Aschenbrener | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-28 |
| 1720693625 | Konrad E Biedron | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-09 |
| 1639783244 | Edward Michael Maher IIi | Peer Specialist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-01 |
| 1114535747 | Kristina Singh Gill | Pharmacist | 1900 E Main St, Danville, IL 61832-5100 | 2020-07-20 |
| 1609493303 | Brandy Mysliwiec | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-29 |
| 1750907796 | John Luis Mclaughlin | Counselor | 1900 E Main St, Danville, IL 61832-5198 | 2020-06-24 |
| 1023633310 | Thomas Nguyen | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-11 |
| 1164047775 | Jane Mary Lakayil | Optometrist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
| 1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
| 1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| 1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
| 1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
| 1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
| 1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
| 1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
| 1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
| Find all providers in zip 61832 | ||||
| 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 |
|---|---|---|---|---|
| 1730788217 | Tara Christine Stafford | Social Worker | 30 Carlyle Ct, Danville, CA 94506-6147 | 2020-10-26 |
| 1518503713 | Speak2me2 Counseling LLC | Social Worker | 917 N Walnut St Ste 201, Danville, IL 61832-3911 | 2019-11-22 |
| 1942862115 | Elsbeth Ethel Logan | Social Worker | 199 E Linda Mesa Ave Ste 14, Danville, CA 94526-3338 | 2019-07-08 |
| 1609431022 | April Schmeice Jones-garrett | Social Worker | 134 Parker Rd W, Danville, VA 24540-7442 | 2019-05-01 |
| 1609339621 | Elizabeth Brown Marshall | Social Worker | 413 Mount Cross Rd Ste 101, Danville, VA 24540-4089 | 2019-04-08 |
| 1700357050 | Whitsell Counseling & Supervision, LLC | Social Worker | 416 S 4th St Ste 1, Danville, KY 40422-2085 | 2018-12-16 |
| 1891216198 | Susan Elaine Chesnut | Social Worker | 304 South Market Street, Danville, OH 43014 | 2017-06-28 |
| 1679010995 | Jane Massengill | Social Worker | 425 El Pintado Rd Ste 135, Danville, CA 94526-1867 | 2017-01-24 |
| 1700320496 | Mildred J Williams | Social Worker | 6 Vinson St, Danville, IL 61832-2741 | 2016-12-14 |
| 1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
| Find all providers in DANVILLE | ||||
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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.