MR. MARK WINSTON ANDEREGG (NPI# 1568499796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568499796 |
| Entity Type | Individual |
| Full Name | MR. MARK WINSTON ANDEREGG |
| Credential | LCSW |
| Practice Address |
214 Bush River Drive Farmville VA 23901 |
| Mailing Address |
13726 War Admiral Dr Midlothian VA 23112-6403 |
| Practice Telephone | 4343923187 |
| Practice Fax Number | 4343925789 |
| Mailing Telephone | 8047391130 |
| Mailing Fax Number | 8045416708 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904001959 | VA | Behavioral Health & Social Service Providers |
| Street Address |
214 BUSH RIVER DRIVE |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083616593 | James S Brown | Psychiatry & Neurology | 214 Bush River Drive, Farmville, VA 23901-0248 | 2005-08-15 |
| 1821245119 | Lorraine Boothe | Counselor | 214 Bush River Drive, Farmville, VA 23901 | 2008-08-19 |
| 1457508798 | Kyle D Vaught | Counselor | 214 Bush River Drive, Farmville, VA 23901 | 2008-08-19 |
| 1295981504 | Mary Stephanie Coleman | Counselor | 214 Bush River Drive, Farmville, VA 23901 | 2008-08-18 |
| 1467610964 | Valerie Morris | Counselor | 214 Bush River Drive, Farmville, VA 23901 | 2008-05-30 |
| 1609920420 | Jason Vaughan French | Counselor | 214 Bush River Drive, Farmville, VA 23901 | 2007-01-22 |
| 1992855985 | Grace M Bowen | Social Worker | 214 Bush River Drive, Farmville, VI 23901 | 2007-01-11 |
| 1821164583 | Vaught Christian Counseling PC | Counselor | 214 Bush River Drive, Farmville, VA 23901 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| 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 |
|---|---|---|---|---|
| 1730730664 | Kristen Michelle Bowen | Social Worker | 404 E 3rd St Ste 200, Farmville, VA 23901-1512 | 2019-09-23 |
| 1508230640 | Bey & Associates | Social Worker | 113 Belmont Cir, Farmville, VA 23901-4500 | 2015-11-29 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1063679892 | Ren A Thorne | Social Worker | 407 Sunchase Blvd, Apt C, Farmville, VA 23901-2898 | 2008-05-20 |
| 1952521924 | Kimyatta Shevone Anderson | Social Worker | 3707 N Main St, Farmville, NC 27828-1486 | 2007-05-01 |
| 1306845318 | Lynda Tomalonis Farrell | Social Worker | Bush River Rt. 460, Farmville, VA 23901 | 2005-07-20 |
| 1205485810 | Elizabeth Kate Trammell Griles | Social Worker | 214 Bush River Dr, Farmville, VA 23901-3179 | 2019-09-06 |
| 1821547639 | Shelley Mays-couch | Social Worker | 1080 Hardtimes Rd, Farmville, VA 23901-5613 | 2016-09-22 |
| 1356761753 | Nellie Parrish | Social Worker | 216 Bush River Drive, Farmville, VA 23901 | 2014-04-24 |
| 1730442294 | Kimyatta Anderson | Social Worker | 3707 N Main St, Farmville, NC 27828-1486 | 2012-06-20 |
| Find all providers in FARMVILLE | ||||
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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.