CHILDREN'S VILLAGE INCORPORATED (NPI# 1609354109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609354109 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S VILLAGE INCORPORATED |
| Practice Address |
1350 W Hanley Ave Coeur D Alene ID 83815-8638 |
| Practice Telephone | 2086671189 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | ROSA A. METTLER (CHIEF PROGRAM OFFICER) |
| Authorized Official Telephone | 2086671189 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1350 W HANLEY AVE |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83815-8638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790133163 | Christine Lee Stanton | Speech-Language Pathologist | 3825 N. Blalock Drive, Coeur D'alene, ID 83815 | 2016-05-26 |
| 1578921961 | Kayla Wearne | Speech-Language Pathologist | 917 W Canfield Avenue, Coeur D'alene, ID 83815 | 2016-02-01 |
| 1770954794 | William Strong | Speech-Language Pathologist | 3902 Broken Arrow Rd, Coeur D Alene, ID 83815 | 2015-10-16 |
| 1235517079 | Denny Bordeaux | Emergency Medical Technician, Paramedic | 7294 Downing Lane, Coeur D Alene, ID 83815 | 2015-05-13 |
| 1689075657 | Barbara Campbell | Pharmacist | W 201 Neider Rd., Coeur D'alene, ID 83815 | 2014-09-10 |
| 1710313671 | Sean Cooper | Pharmacist | W. 201 Neider Rd., Coeur D' Alene, ID 83815 | 2013-09-23 |
| 1275871329 | Lake City Dental | Dentist | 6176 Government Way, Coeur D'alene, ID 83815 | 2013-01-24 |
| 1881972701 | A Better Personal Care Inc | In Home Supportive Care | 3115 N Government Way Ste 2, Coeur D'alene, ID 83815 | 2011-07-26 |
| 1013206895 | Robert Sperry | Pharmacist | 41650 W Maricopacg Hwy., Maricopa, AZ 83815 | 2011-04-01 |
| 1629304670 | Marciea W. Buckley | Social Worker | 109 Harrison Ave, Coeur D' Alene, ID 83815 | 2009-10-27 |
| Find all providers in zip 83815 | ||||
| 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 |
|---|---|---|---|---|
| 1497377469 | Raising Resilience Holistic Mental Wellness Inc | Social Worker | 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814-2200 | 2020-05-13 |
| 1952823148 | Amy Michelle Jenkins | Social Worker | 1115 W Ironwood Dr Ste A, Coeur D Alene, ID 83814-4937 | 2017-07-10 |
| 1679937437 | Jason Fredrick Bradfish | Social Worker | 118 N 7th St Ste C3, Coeur D Alene, ID 83814-2736 | 2016-04-07 |
| 1912348186 | Bailey Jennette White | Social Worker | 1105 W Ironwood Dr Lowr Level, Coeur D Alene, ID 83814 | 2013-07-16 |
| 1679824965 | Joy'l Jenkins | Social Worker | 1620 Northwest Blvd Ste 101, Coeur D Alene, ID 83814-2488 | 2012-09-26 |
| 1013277888 | Donna Colberg | Social Worker | 6050 E Kingswood Ln, Coeur D Alene, ID 83814-5263 | 2012-05-25 |
| 1649568262 | Paul A Grayhek | Social Worker | 1406 N Galena Dr, Coeur D Alene, ID 83814-5990 | 2011-07-17 |
| 1285933358 | Kathleen Fairbanks | Social Worker | 401 1/2 E Sherman Ave Ste 203, Coeur D Alene, ID 83814-2745 | 2011-03-15 |
| 1578869780 | Sheri Starbird Weistaner | Social Worker | 602 E Garden Ave Ste 5, Coeur D Alene, ID 83814-2945 | 2011-02-04 |
| 1093036147 | Jud Eugene Leifheit | Social Worker | 1110 W Park Pl Ste 305, Coeur D Alene, ID 83814-2784 | 2010-06-11 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83815 |
Please comment or provide details below to improve the information on CHILDREN'S VILLAGE INCORPORATED.
| 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.