RENEE LEE DAVIDSON (NPI# 1609077502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609077502 |
| Entity Type | Individual |
| Full Name | RENEE LEE DAVIDSON |
| Credential | MSW, LCSW |
| Practice Address |
396 Barkwood Ln Glen Carbon IL 62034-1528 |
| Practice Telephone | 3146605138 |
| Mailing Telephone | 3146605138 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149016263 | IL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2007011917 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568502201 | Renee Antoinette Davidson | Social Worker | 49455 Shelby Rd, Shelby Township, MI 48317-1559 | 2007-02-08 |
| 1104069368 | Renee S Davidson | Counselor | 218a Sunset Rd, Screening, Crisis & Intervention Program, Willingboro, NJ 08046-1110 | 2009-04-16 |
| Street Address |
396 BARKWOOD LN |
| City | GLEN CARBON |
| State | IL |
| Zip Code | 62034-1528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787795 | Kaleena Galletta | Nurse Practitioner | 4273 S., Il - 159, Glen Carbon, IL 62034 | 2018-04-06 |
| 1871092502 | Andrea Lee Sullivan | Dentist | 3024 South Il-159, Glen Carbon, IL 62034 | 2018-02-08 |
| 1417464918 | Stages Health & Wellness, LLC | Nurse Practitioner | 14 Crabapple Lane, Glen Carbon, IL 62034 | 2018-01-05 |
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1679024228 | 360 Body Wellness Inc | Internal Medicine | 3407 Il State Route 157, Glen Carbon, IL 62034 | 2016-10-19 |
| 1346621505 | Stephanie N Lorts | Pediatrics | 4804 South State Route 159, Glen Carbon, IL 62034 | 2015-06-13 |
| 1205110111 | James Allan Staley | Pharmacist | #2 Cottonwood Rd, Glen Carbon, IL 62034 | 2011-10-11 |
| 1215224357 | Angela Eleni Kioultzopoulos | Speech-Language Pathologist | 7a Ginger Creek Village Dr., Glen Carbon, IL 62034 | 2011-07-08 |
| 1922320795 | Meridian Village Association | Skilled Nursing Facility | 27 Auerbach Place, Glen Carbon, IL 62034 | 2010-02-22 |
| 1679728356 | Erin Kathleen Immken | Counselor | 98 Junction Drive West, Suite 6, Glen Carbon, IL 62034 | 2008-11-24 |
| Find all providers in zip 62034 | ||||
| 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 |
|---|---|---|---|---|
| 1073130860 | A Better Life Counseling, LLC | Social Worker | 114 Bayfield Dr, Glen Carbon, IL 62034-2980 | 2020-06-29 |
| 1083072227 | Patricia Lallish Lcsw | Social Worker | 24 Trailridge Ln, Glen Carbon, IL 62034-1834 | 2016-02-02 |
| 1760636542 | Rebecca Susan Scandell | Social Worker | 76 Julie Dr, Glen Carbon, IL 62034-3007 | 2008-11-06 |
| 1487841714 | Renee Keller | Social Worker | 9 Junction Dr W, Suite 3, Glen Carbon, IL 62034-2931 | 2007-10-01 |
| 1922155886 | Ruth Cohen Kubicek | Social Worker | 9 Junction Drive West, Suite 2, Glen Carbon, IL 62024 | 2007-01-04 |
| 1508897257 | Harriet Grazman | Social Worker | 6-b Glen-ed Professional Park, Glen Carbon, IL 62034-3333 | 2006-07-05 |
| 1164061925 | Heather Renee Perez | Social Worker | 2220 S State Route 157 Ste 200d, Glen Carbon, IL 62034-1724 | 2019-12-26 |
| 1346680006 | Timothy L. Allen | Social Worker | 9 Junction Dr W, Glen Carbon, IL 62034-2931 | 2013-06-26 |
| 1124379755 | Mosaic Unlimited Inc | Social Worker | 9 Junction Dr W, Suite 2, Glen Carbon, IL 62034 | 2012-09-22 |
| 1326309717 | Amy Lynn Miller | Social Worker | 9 Junction Dr W, Suite 6, Glen Carbon, IL 62034-2931 | 2012-06-03 |
| Find all providers in GLEN CARBON | ||||
| City | GLEN CARBON |
| Zip Code | 62034 |
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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.