ELITE CLINICAL SERVICES, LLC (NPI# 1598324287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598324287 |
| Entity Type | Organization |
| Organization Name | ELITE CLINICAL SERVICES, LLC |
| Practice Address |
2620 Centenary Blvd Ste 201 Shreveport LA 71104-3350 |
| Practice Telephone | 3189468527 |
| Practice Fax Number | 3189468527 |
| Mailing Telephone | 3189468527 |
| Mailing Fax Number | 3189468527 |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | WYONNIE PERRY (OWNER) |
| Authorized Official Telephone | 3184261708 |
| Authorized Official Credential | LCSW-BACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
2620 CENTENARY BLVD STE 201 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| 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 |
|---|---|---|---|---|
| 1568083293 | Mickey Dawnell Lathon | Social Worker | 8823 Chadwick Dr, Shreveport, LA 71129-5124 | 2020-05-05 |
| 1649818303 | Jacinta Tiane Lafleur | Social Worker | 9806 Kingston Rd, Shreveport, LA 71118-5320 | 2019-12-12 |
| 1619537651 | The Therapeutic & Restorative Village | Social Worker | 820 Jordan St Ste 315c, Shreveport, LA 71101-4512 | 2019-06-20 |
| 1700365996 | Turning Point Counseling Services LLC | Social Worker | 234 Mayo Rd, Shreveport, LA 71106-7916 | 2018-08-09 |
| 1528546983 | Lisa Haulmark | Social Worker | 2350 Levy St, Shreveport, LA 71103-3656 | 2018-07-29 |
| 1134625932 | Nikkole Weiss | Social Worker | 3000 Knight St Bldg 5, Shreveport, LA 71105-2566 | 2018-04-02 |
| 1659875219 | Tammi Layne Rider | Social Worker | 4859 Dixie Garden Loop, Shreveport, LA 71105-4035 | 2018-03-20 |
| 1679088355 | Takandra A Johnson | Social Worker | 8700 Millicent Way Apt 605, Shreveport, LA 71115-2254 | 2017-12-04 |
| 1801347232 | James Ross Sr. | Social Worker | 1010 Creswell Ave, Shreveport, LA 71101-3918 | 2016-10-20 |
| 1558713438 | Angela White | Social Worker | 9315 Midvale Dr, Shreveport, LA 71118-3554 | 2016-07-05 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.