MS. TRACI M. ALDRIDGE (NPI# 1619187358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619187358 |
| Entity Type | Individual |
| Full Name | MS. TRACI M. ALDRIDGE |
| Credential | LCSW |
| Practice Address |
201 Independence Building 1100, Ste. 235 Columbus MS 39710-5300 |
| Practice Telephone | 6624342292 |
| Mailing Telephone | 6624342292 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C5787 | MS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750468138 | Traci Rae Aldridge | Nurse Practitioner | 11209 N. Tatum Blvd, Suite 255, Phoenix, AZ 85028 | 2006-11-01 |
| Street Address |
201 INDEPENDENCE BUILDING 1100, STE. 235 |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39710-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993843 | Cynthia Barrett | Social Worker | 201 Independence, Columbus, MS 39710-5300 | 2005-06-23 |
| 1346804531 | Caley Kropp | Student in an Organized Health Care Education/Training Program | 201 Independence, Columbus, MS 39710-5300 | 2019-04-24 |
| 1932696713 | James Tyler Bates | Family Medicine | 201 Independence, Columbus, MS 39710 | 2018-04-17 |
| 1497261051 | Gregory Correale | Pharmacist | 201 Independence, Columbus, MS 39710-5300 | 2017-12-19 |
| 1235580465 | Clare Weitz | Pharmacist | 201 Independence, Suite 2255, Columbus, MS 39710-5300 | 2016-06-29 |
| 1144679994 | Faga Samdumu | Pharmacist | 201 Independence, Columbus, MS 39710-5300 | 2016-06-11 |
| 1972964591 | Lauren Beers | Physical Therapist | 201 Independence, Columbus, MS 39710 | 2016-03-09 |
| 1780081026 | Anna Friscia | Registered Nurse | 201 Independence, Columbus, MS 39710-5300 | 2014-12-02 |
| 1992117378 | Jennifer Bryant Williams | Social Worker | 201 Independence, Columbus, MS 39710 | 2014-05-20 |
| 1891105466 | Robin Thompson | Registered Nurse | 201 Independence, Columbus, MS 39710-5300 | 2014-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558653063 | Steven Thomas Fosmire | Preventive Medicine | 14th Medical Group, 201 Independence Dr., Ste 2255, Columbus Afb, MS 39710 | 2011-05-03 |
| 1457311573 | Benjamin Jordan Franklin | Optometrist | 14 Medical Group, 201 Independence Dr Ste 235, Columbus Afb, MS 39710 | 2006-03-24 |
| 1396713194 | Kirk Tracy Moss | Family Medicine | 14th Mdg, 201 Independence Dr, Columbus Afb, MS 39710 | 2006-03-09 |
| 1659367266 | Paul H Nelson | Family Medicine | 201 Independence Dr, 14th Medical Group Ste 235, Columbus Afb, MS 39710 | 2005-09-20 |
| 1467447201 | James Henry Heriot | Internal Medicine | 201 Independence Drive, 14th Medical Group/sgoq, Columbus Afb, MS 39710 | 2005-09-19 |
| 1699372938 | Stacie Lynn Penkova | Pharmacist | 14th Medical Group, 201 Independence Drive, Columbus Afb, MS 39710 | 2020-10-08 |
| 1558740019 | William Jennings Amador | Family Medicine | 201 Independence Drive, 14th Medical Group, Columbus Afb, MS 39710 | 2015-05-29 |
| 1225457534 | Kenneth Richard Taylor | Preventive Medicine | 14th Medical Group, 201 Independence Drive, Columbus Afb, MS 39710 | 2014-04-15 |
| 1437414281 | Valerie Ayana Brennan | Social Worker | 14th Medical Group, 201 Independence Drive, Columbus, MS 39710 | 2012-07-09 |
| 1477845261 | Richard Joseph Levitre | Psychiatry & Neurology | 14th Medical Group 201 Independence Drive, Columbus, MS 39710 | 2011-05-11 |
| Find all providers in zip 39710 | ||||
| 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] |
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|---|---|---|---|---|
| 1336748268 | Megan Ferguson | Social Worker | 2516 Gardenia Dr, Columbus, OH 43235-5515 | 2020-10-21 |
| 1427664861 | Kelly Hellmuth | Social Worker | 49 W Henderson Rd, Columbus, OH 43214-2627 | 2020-09-21 |
| 1891308714 | Kassandra Hill | Social Worker | 8400 Veterans Pkwy Apt 1317, Columbus, GA 31909-2466 | 2020-08-29 |
| 1487265856 | Pamela Reid Seldon | Social Worker | 6242 Mill Branch Rd, Columbus, GA 31907-4430 | 2020-08-11 |
| 1205445145 | Mallorie E Davis | Social Worker | 1350 W 5th Ave Ste 112, Columbus, OH 43212-2907 | 2020-07-27 |
| 1245854223 | Jennifer Dirr | Social Worker | 3770 Tanager Dr, Columbus, OH 43230-1181 | 2020-06-04 |
| 1104446400 | Jared Bollenbacher | Social Worker | 467 Wilson Ave, Columbus, OH 43205-1944 | 2020-04-16 |
| 1093344681 | Nathanael William Russell | Social Worker | 9770 Big Hand Rd, Columbus, MI 48063-2913 | 2020-04-06 |
| 1194350488 | Sara Warren | Social Worker | 2664 Cranford Rd, Columbus, OH 43221-1108 | 2020-03-06 |
| 1285266445 | Mantra Mental Health, LLC | Social Worker | 3630 N High St Ste 203, Columbus, OH 43214-3652 | 2020-02-06 |
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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.