MEJIA D WILLIAMS (NPI# 1588959324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588959324 |
| Entity Type | Individual |
| Full Name | MEJIA D WILLIAMS |
| Practice Address |
190 Overthrust Road Evanston WY 82930 |
| Mailing Address |
Po Box 210 Evanston WY 82931-0210 |
| Practice Telephone | 3077894224 |
| Practice Fax Number | 3077894225 |
| Mailing Telephone | 3077894224 |
| Mailing Fax Number | 3077894225 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2016-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW #965 | WY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PCSW-580 | WY | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
190 OVERTHRUST ROAD |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891314514 | Devin Short | Community Health Worker | 190 Overthrust Road, Evanston, WY 82930 | 2020-04-13 |
| 1821627670 | Yennhi Hoang | Counselor | 190 Overthrust Road, Evanston, WY 82930 | 2020-04-03 |
| 1184262552 | Bret B Mccoy | Counselor | 190 Overthrust Road, Evanston, WY 82930 | 2019-12-17 |
| 1134598774 | Desiree Workman | Community Health Worker | 190 Overthrust Road, Evanston, WY 82930 | 2015-09-24 |
| 1154740611 | Douglas Cottreu Knighton | Case Manager/Care Coordinator | 190 Overthrust Road, Evanston, WY 82930 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| 1568766889 | Tiffany Lynn Pieger | Massage Therapist | 116 10th Street, Evanston, WY 82930 | 2010-12-29 |
| Find all providers in zip 82930 | ||||
| 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 |
|---|---|---|---|---|
| 1588276406 | Meredith S Alger | Social Worker | 1815 Seward St, Evanston, IL 60202-1905 | 2020-08-21 |
| 1568090678 | Ashley Ice | Social Worker | 200 Ridge Ave Apt 1c, Evanston, IL 60202-3855 | 2020-04-01 |
| 1801420971 | Solidarity Therapy Services LLC | Social Worker | 733 Dobson St Apt 2s, Evanston, IL 60202-3977 | 2020-02-27 |
| 1649804188 | Singlepoint Psychotherapy | Social Worker | 1234 Sherman Ave Ste 109, Evanston, IL 60202-1375 | 2020-02-24 |
| 1215571658 | Wendy Kopald | Social Worker | 1740 Ridge Ave Ste 200-c, Evanston, IL 60201-5918 | 2019-10-29 |
| 1477104396 | Eleanor Pierson | Social Worker | 1865 Sherman Ave, Evanston, IL 60201-3714 | 2019-09-23 |
| 1043860125 | Adrienne Groff | Social Worker | 2309 Forestview Rd, Evanston, IL 60201-2011 | 2019-09-19 |
| 1992351712 | Christine Sofia Leone | Social Worker | 235 Custer Ave Apt 2s, Evanston, IL 60202-3597 | 2019-08-16 |
| 1780237669 | Suzanne Nicole Hawley | Social Worker | 1617 South Blvd, Evanston, IL 60202-2745 | 2019-07-19 |
| 1124587449 | Julie Noparstak | Social Worker | 990 Grove St Ste 401, Evanston, IL 60201-4370 | 2019-03-16 |
| Find all providers in EVANSTON | ||||
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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.