MRS. DORETHA YVETTE SOMERVILLE (NPI# 1619490414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619490414 |
| Entity Type | Individual |
| Full Name | MRS. DORETHA YVETTE SOMERVILLE |
| Credential | LCSWA |
| Practice Address |
6885 Cliffdale Rd Fayetteville NC 28314-2833 |
| Mailing Address |
67 Baltic Cir Fort Bragg NC 28307-1916 |
| Practice Telephone | 9103390400 |
| Practice Fax Number | 9103390396 |
| Mailing Telephone | 9104910068 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
P011845 | NC | Behavioral Health & Social Service Providers |
| Street Address |
6885 CLIFFDALE RD |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28314-2833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080292 | John P Rucker | Psychologist | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2005-08-22 |
| 1932600863 | Ashley Tennyson | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2018-02-26 |
| 1184136897 | James Weldon Nicholson I | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-11-03 |
| 1235649112 | Desmond Lucas | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-10-05 |
| 1285144303 | Kari Bustillos | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-10-03 |
| 1235651472 | Natasha Elizabeth Schauer | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-07-10 |
| 1689104713 | Tymesha Le'sha Lamison | Social Worker | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-06-12 |
| 1558897991 | Carolyn Weckenmann | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314 | 2017-05-04 |
| 1982149803 | Jenny Lee Finlan | Counselor | 6885 Cliffdale Rd, Fayetteville, NC 28314-2833 | 2017-01-01 |
| 1467900589 | Shanna Bell | Counselor | 6885 Cliffdale Rd, Suite 202, Fayetteville, NC 28314-2833 | 2016-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1467086496 | The Pair Center for Couples Counseling Pllc | Counselor | 5085 Morganton Road, Suite 300, Fayetteville, NC 28314 | 2020-02-28 |
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1780231894 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 2360 Williamwood Lane, Fayetteville, NC 28314 | 2019-08-22 |
| 1164075982 | A Touch of Grace Inc | Day Training/Habilitation Specialist | 2153 Heathcote Drive, Fayetteville, NC 28314 | 2019-07-21 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1861983439 | Jessica Lynne Smith | Counselor | 6885 Cliffdale Rd Ste 2002, Fayetteville, NC 28314 | 2018-05-19 |
| 1073003752 | Gooden Mobile Pod Nc Pllc | Podiatrist | 311 Mcfadyen Dr, Fayetteville, NC 28314 | 2018-05-17 |
| 1093222101 | Lauren Bonneau | Behavioral Analyst | 6985 Nexus Ct, Suite 107, Fayetteville, NC 28314 | 2018-01-10 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| Find all providers in zip 28314 | ||||
| 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 |
|---|---|---|---|---|
| 1700484201 | Torrie Luciana Powell | Social Worker | 3526 Standard Dr, Fayetteville, NC 28306-8089 | 2020-10-15 |
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1861004996 | Roderick Eugene Brown Jr. | Social Worker | 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 | 2020-08-19 |
| 1427667278 | Valerie Russell | Social Worker | 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 | 2020-07-28 |
| 1942822671 | Alexis Oneal Vestal | Social Worker | 723 Athens Ave, Fayetteville, NC 28301-4800 | 2020-05-15 |
| 1346862281 | Heather Marie Sroka | Social Worker | 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 | 2020-05-14 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1982239877 | Alicia Story | Social Worker | 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 | 2020-03-11 |
| 1053959619 | Benlyd Colon | Social Worker | 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 | 2019-12-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28314 |
Please comment or provide details below to improve the information on MRS. DORETHA YVETTE SOMERVILLE.
| 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.