JEAN ALLISON CHURCH (NPI# 1578063616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578063616 |
| Entity Type | Individual |
| Full Name | JEAN ALLISON CHURCH |
| Other Name | ALI CHURCH |
| Credential | LCSW |
| Practice Address |
601 1st St E Polson MT 59860-2717 |
| Mailing Address |
44959 Schoolhouse Ln Charlo MT 59824-9449 |
| Practice Telephone | 8653685298 |
| Mailing Telephone | 8653685298 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
29808 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730405606 | Jean Catherine Church | Optometrist | 545 Boulevard Way, Piedmont, CA 94610-1524 | 2010-04-15 |
| 1316262405 | Jean C Church | Physical Therapist | 30 Las Colinas Ln, San Jose, CA 95119-1212 | 2010-03-31 |
| Street Address |
601 1ST ST E |
| City | POLSON |
| State | MT |
| Zip Code | 59860-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095020 | Ashley J Gilham | Registered Nurse | #5 4th Ave E., Polson, MT 59860 | 2017-07-07 |
| 1225585532 | St. Luke Community Hospital | Clinic/Center | 107 Ridgewater Dr., Polson, MT 59860 | 2016-09-02 |
| 1306202163 | Western Montana Mental Health Center | Community Based Residential Treatment Facility, Mental Illness | 7 13th Ave East, Polson, MT 59860 | 2016-01-11 |
| 1154730364 | Wanda L King | Dietitian, Registered | 6 Thirteenth Avenue East, Poslon, MT 59860 | 2014-08-13 |
| 1104255637 | Dacia Lee Antiste-fisher | Counselor | #5 4th Ave. E., Polson, MT 59860 | 2013-11-05 |
| 1154758134 | Richard Pierre | Pharmacy Technician | 5 4th Ave E., Polson, MT 59860 | 2013-10-04 |
| 1154755197 | Wal-mart Stores, Inc | Durable Medical Equipment & Medical Supplies | 36318 Memory Lane, Polson, MT 59860 | 2013-08-27 |
| 1245582022 | Catherine D Addison | Registered Nurse | 5 4th Ave. East, Polson, MT 59860 | 2012-10-04 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1942431473 | Lisa L. Scalpane | Counselor | 803 Main Street, Suite C, Polson, MT 59860 | 2009-07-31 |
| Find all providers in zip 59860 | ||||
| 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 |
|---|---|---|---|---|
| 1750742979 | Margaret Schildt | Social Worker | 103 Whitewater St Ste A, Polson, MT 59860-4502 | 2016-03-15 |
| 1962862664 | Amy Lynn Odegaard | Social Worker | 1602 2nd St W, Polson, MT 59860-4005 | 2016-02-24 |
| 1346671708 | Anne Dannis Lowe | Social Worker | 2 6th Ave E, Polson, MT 59860-2726 | 2013-12-10 |
| 1114220787 | Erika Ann Weber | Social Worker | #5 4th Ave. E, Polson, MT 59860 | 2010-12-21 |
| 1093999013 | Jacqueline M. Murray Kruzen | Social Worker | 40832 Lake Vista Ct, Polson, MT 59860 | 2007-12-27 |
| 1255521829 | Coralie Laeupple | Social Worker | 312 4th Ave E, Polson, MT 59860-2314 | 2007-07-30 |
| 1063443927 | Sheila M Bell | Social Worker | 802 Main St Ste C, Polson, MT 59860-3200 | 2006-07-06 |
| 1114526902 | Jade Creek Counseling | Social Worker | 2 6th Ave E, Polson, MT 59860-2726 | 2020-10-22 |
| 1760007058 | Mind Flow Therapeutics LLC | Social Worker | 2 6th Ave E, Polson, MT 59860-2726 | 2020-06-11 |
| 1285266221 | Craig Lyle Stevenson | Social Worker | 2 6th Ave E, Polson, MT 59860-2726 | 2020-02-07 |
| Find all providers in POLSON | ||||
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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.