DENA SOUTHERLAN (NPI# 1588020788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588020788 |
| Entity Type | Individual |
| Full Name | DENA SOUTHERLAN |
| Credential | LCSW |
| Practice Address |
1143 Capitol Street Unit 206c Eagle CO 81631 |
| Mailing Address |
Po Box 7612 Avon CO 81620-7612 |
| Practice Telephone | 9704452700 |
| Practice Fax Number | 9704452700 |
| Mailing Telephone | 9704452700 |
| Mailing Fax Number | 9704452700 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
09924204 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1143 CAPITOL STREET UNIT 206C |
| City | EAGLE |
| State | CO |
| Zip Code | 81631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1689213829 | Erin E Johnson | Pharmacist | 0103 Market Street, Eagle, CO 81631 | 2020-01-06 |
| 1821653825 | Lauren Lyn Ruhl | Counselor | 360 Eby Creek Road, Eagle, CO 81631 | 2019-05-06 |
| 1134626401 | Dawn Allison Nichols | Counselor | 137 Howard, Eagle, CO 81631 | 2018-04-12 |
| 1750886776 | Daniel Israel | Counselor | 137 Howard St., Eagle, CO 81631 | 2018-03-30 |
| 1962903005 | Lisa K Johnson | Massage Therapist | 717a Sylvan Lake Road, Eagle, CO 81631 | 2018-02-23 |
| 1922525815 | Susan Robinson | Physical Therapist | 1143 Capitol St, Unit 102b, Eagle, CO 81631 | 2017-08-23 |
| 1184148157 | Hallie Mclaughlin | Dental Hygienist | 530 Founders Ave, Eagle, CO 81631 | 2017-08-01 |
| 1780125252 | Brendan Quinn | Pharmacist | 264 Fulford Drive, Eagle, CO 81631 | 2017-03-16 |
| 1710428883 | Eagle Orthodontics, PC | Dentist | 011 Eagle Park Dr., Eagle, CO 81631 | 2017-03-09 |
| Find all providers in zip 81631 | ||||
| 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 |
|---|---|---|---|---|
| 1215549662 | Andrea Browning | Social Worker | 2549 Salt Creek Road, Eagle, CO 81631 | 2020-08-18 |
| 1609347806 | Peak Counseling, LLC | Social Worker | 0171 Beecher Street, Eagle, CO 81631-8163 | 2018-12-16 |
| 1366979486 | Sheryl R Ford | Social Worker | 3225 W Bavaria St Ste 123, Eagle, ID 83616-5547 | 2017-05-19 |
| 1376087965 | James Sola | Social Worker | 563 W Bogus View Dr, Eagle, ID 83616-5871 | 2016-12-15 |
| 1033437025 | T.horn Enterprises, Inc | Social Worker | 407 Broadway, #2, Eagle, CO 81631-6042 | 2010-05-14 |
| 1679723282 | Jessica Shakespeare Neighbors | Social Worker | 815 S Bridge Way Pl, Ste: 118, Eagle, ID 83616-6006 | 2008-09-19 |
| 1124207329 | Julie Ann Austin | Social Worker | 961 E Thunderbird Ct, Eagle, ID 83616-4188 | 2007-10-24 |
| 1174711659 | Federica Lanza | Social Worker | 1243 E Iron Eagle Dr Ste 130d, Eagle, ID 83616-6599 | 2007-10-09 |
| 1548489735 | Saint Alphonsus Rehabilitation Services | Social Worker | 875 E Plaza Dr, #105, Eagle, ID 83616 | 2007-04-25 |
| 1740306695 | Trina Christeen Fisher-szeles | Social Worker | 1121 E State St, Ste 107, Eagle, ID 83616-6062 | 2007-03-22 |
| Find all providers in EAGLE | ||||
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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.