JIM GAYLORD (NPI# 1568999308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568999308 |
| Entity Type | Individual |
| Full Name | JIM GAYLORD |
| Other Name | JAMES GAYLORD |
| Credential | LICSW |
| Practice Address |
6208 E Superior St Duluth MN 55804-2542 |
| Practice Telephone | 2183439401 |
| Mailing Telephone | 2183439401 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
19749 | MN | Behavioral Health & Social Service Providers |
| Street Address |
6208 E SUPERIOR ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55804-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235593591 | Michelle Leblanc | Speech-Language Pathologist | 5017 London Rd., Duluth, MN 55804 | 2016-04-12 |
| 1346541075 | Christina Finlo | Marriage & Family Therapist | 4849 Ivanhoe St, Duluth, MN 55804 | 2010-11-11 |
| 1821301623 | Rachel Gabrielle Ashford | Social Worker | 5107 E Superior St, Duluth, MN 55804 | 2010-07-21 |
| 1932381423 | Janet Florence Lewis | Registered Nurse | 4231 Dodge Street, Duluth, MN 55804 | 2007-11-27 |
| 1245419894 | Ernest Carl Hansen | Physical Therapist | 4002 London Rd., Duluth, MN 55804 | 2007-10-31 |
| 1316011596 | Melissa J. Janzen | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2006-11-20 |
| 1861406522 | Susan Klee Anderson | Family Medicine | 4621 E Superior St., Duluth, MN 55804 | 2006-07-28 |
| 1104886977 | Sarah Adeen Ziring | Physical Therapist | 4621 E Superior St, Duluth, MN 55804 | 2006-03-24 |
| 1285831040 | Janzen Chiropractic Pa | Chiropractor | 4731 E Superior St, Duluth, MN 55804 | 2007-06-27 |
| 1912121708 | Cooley Chiropractic Clinic, Inc. | Chiropractor | 5722 Homestead Rd, Duluth, MN 55804 | 2007-04-12 |
| Find all providers in zip 55804 | ||||
| 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 |
|---|---|---|---|---|
| 1497366611 | Harvest Moon Mental Health Services, LLC | Social Worker | 1509 E Superior St Apt 203, Duluth, MN 55812-4402 | 2020-08-11 |
| 1235756784 | Allissa Rardin | Social Worker | 720 N Central Ave, Duluth, MN 55807-1305 | 2020-07-01 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1063915239 | Jpw Counseling & Consultation | Social Worker | 302 W Superior St Ste 508, Duluth, MN 55802 | 2018-03-14 |
| 1205348372 | Viloria C Jackson | Social Worker | 3611 Gray Pl, Duluth, GA 30096-3298 | 2017-10-30 |
| 1992225668 | Splady Therapy Services, LLC | Social Worker | 205 W 2nd St Ste 421, Duluth, MN 55802-1920 | 2017-06-23 |
| 1962860940 | Devon Maycock | Social Worker | 1027 N 8th Ave E, Duluth, MN 55805-1427 | 2016-02-04 |
| 1457718744 | Matheny Therapy & Consulting, LLC | Social Worker | 5241 N Shore Dr, Duluth, MN 55804-2911 | 2016-01-18 |
| 1689044620 | Mari Trine | Social Worker | 2421 London Rd, Duluth, MN 55812-2222 | 2015-10-02 |
| 1720454572 | Beyond Counseling and Wellness, LLC | Social Worker | 495 Abbotts Mill Dr, Duluth, GA 30097-8431 | 2015-08-17 |
| Find all providers in DULUTH | ||||
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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.