MRS. ANTONINA JEAN CHASTAIN (NPI# 1619050291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619050291 |
| Entity Type | Individual |
| Full Name | MRS. ANTONINA JEAN CHASTAIN |
| Credential | MSW |
| Practice Address |
5460 Mystic Oaks Dr Imperial MO 63052-3433 |
| Mailing Address |
Po Box 58 Lesterville MO 63654-0058 |
| Practice Telephone | 5736372499 |
| Mailing Telephone | 5736372499 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
5460 MYSTIC OAKS DR |
| City | IMPERIAL |
| State | MO |
| Zip Code | 63052-3433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
| 1043869456 | Susan Hawthorne | Technician | 2918 Sunridge Place, Imperial, MO 63052 | 2019-09-09 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1861778029 | Kelli Allen | Counselor | 6106 Kensington Court, Imperial, MO 63052 | 2011-11-01 |
| 1972730091 | Laura Ann Bequette | Optometrist | 1259 Main Street Plaza, Imperial, MO 63052 | 2009-06-16 |
| 1437329133 | All Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 5844 Hwy. 61-67, Imperial, MO 63052 | 2008-03-10 |
| 1578029419 | Laura Lea Raineri | Nurse Practitioner | 1254 Main St, Imperial, MO 63052 | 2019-02-15 |
| 1033362900 | Angela Fears | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1437302379 | Mary Peterein | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1780651984 | Charles J Johnson | Chiropractor | 1006 Main Street, Suite B, Imperial, MO 63052 | 2006-03-07 |
| Find all providers in zip 63052 | ||||
| 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 |
|---|---|---|---|---|
| 1023031648 | James Hicks IIi | Social Worker | 5460 Mystic Oaks Drive, Imperial, MO 63052-3433 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1447850870 | Convergence Counseling Services, LLC | Social Worker | 7612 E 113th St, Kansas City, MO 64134-2946 | 2020-10-26 |
| 1336748599 | Meghan Lyn Mallams | Social Worker | 28 Westwoods Dr Ste 107, Liberty, MO 64068-3520 | 2020-10-20 |
| 1639777154 | Keisa D. Baker | Social Worker | 7716 Arlington Ave, Raytown, MO 64138-1654 | 2020-10-16 |
| 1811595697 | Sarah Nicole Bailey | Social Worker | 27759 Rock Ave, Bell City, MO 63735-8111 | 2020-10-13 |
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1407463706 | Allison Nichole Kemble | Social Worker | 806 Shawn Ct, Centralia, MO 65240-4320 | 2020-09-30 |
| 1336756949 | Megan Krystal Draper | Social Worker | 8425 Locust St, Kansas City, MO 64131-2223 | 2020-09-28 |
| 1730796541 | Angelita Pritchett | Social Worker | 908 Glencoe, Park Hills, MO 63601-1931 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
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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.