THEODORE ECKERLE (NPI# 1588075949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588075949 |
| Entity Type | Individual |
| Full Name | THEODORE ECKERLE |
| Credential | LCSW |
| Practice Address |
920 West Executive Court Monticello IN 47960 |
| Mailing Address |
415 N 26th St Lafayette IN 47904-2895 |
| Practice Telephone | 5745839350 |
| Practice Fax Number | 5745837997 |
| Mailing Telephone | 5745839350 |
| Mailing Fax Number | 5745837997 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34000581A | IN | Behavioral Health & Social Service Providers |
| Street Address |
920 WEST EXECUTIVE COURT |
| City | MONTICELLO |
| State | IN |
| Zip Code | 47960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255743472 | Suzanne Reber | Pharmacist | 4901 Sr 26th E, Lafayette, IN 47960 | 2014-05-22 |
| 1598805723 | Twin Lakes School Corporation | Local Education Agency (LEA) | 565 S Main Street, Monticello, IN 47960 | 2007-02-07 |
| 1003904806 | Forest Richard Robertson II | Dentist | 515 S Illinois St, Monticello, IN 47960 | 2006-10-10 |
| 1447345889 | Linda Jean Feuquay | Counselor | 207 N. Bluff St., Monticello, IN 47960 | 2006-10-03 |
| 1548270697 | Cdc Resources Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5053 Norway Rd, Monticello, IN 47960 | 2006-08-09 |
| 1528040516 | The Eye Center Group LLC | Optometrist | 1101 O'connor Blvd, Monticello, IN 47960 | 2005-11-16 |
| 1861489254 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1120 N Main St, Monticello, IN 47960 | 2005-09-30 |
| 1467890293 | White County Community Counseling Services LLC | Counselor | 126 S Main St, Monticello, IN 47960 | 2013-06-14 |
| 1144589813 | Angelique Witlam | Physical Therapist | 906 W. Executive Court, Monticello, IN 47960 | 2012-05-15 |
| 1144398991 | Marvin Michael Vantiem Jr. | Chiropractor | 920 W Broadway, Monticello, IN 47960 | 2006-12-01 |
| Find all providers in zip 47960 | ||||
| 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 |
|---|---|---|---|---|
| 1134731292 | Benjamin Wolsey Nielson | Social Worker | 133 E. 200 S., Monticello, UT 84535 | 2020-08-20 |
| 1245841949 | Nathan Macolly | Social Worker | 205 N Rhodes St, Monticello, FL 32344-2558 | 2020-08-14 |
| 1104305994 | Jessica Gronli | Social Worker | 9766 Fallon Ave Ne Ste 201&202, Monticello, MN 55362-4588 | 2018-08-13 |
| 1538457395 | Kindred Family Services | Social Worker | 9766 Fallon Ave Ne Ste 104, Monticello, MN 55362-4589 | 2011-07-14 |
| 1205129566 | Jacob Palmer Joslin | Social Worker | 281 South 300 East, Monticello, UT 84535-8453 | 2011-05-19 |
| 1811299019 | Pamela Marie Bertram | Social Worker | 228 W Broadway St, Monticello, MN 55362 | 2010-11-22 |
| 1801028402 | Rebecca Ann Skoda | Social Worker | 20 Crystal St., Monticello, NY 12701 | 2009-08-14 |
| 1144479403 | Suzanne F Holmes | Social Worker | 920 Executive Dr, Monticello, IN 47960-1961 | 2008-09-11 |
| 1861689994 | Ellen Hamilton | Social Worker | 5877 North Salt Road, Monticello, FL 32344 | 2007-10-03 |
| 1902020563 | Michele Knecht | Social Worker | 5720 E 100 N, Monticello, IN 47960-2482 | 2007-04-12 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 47960 |
Please comment or provide details below to improve the information on THEODORE ECKERLE.
| 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.