LAKENYA HOLMES MCCALLISTER (NPI# 1629196779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629196779 |
| Entity Type | Individual |
| Full Name | LAKENYA HOLMES MCCALLISTER |
| Credential | MSW, PLCSW |
| Practice Address |
640 Brevard Ave Suite 104 Cocoa FL 32792-2541 |
| Mailing Address |
4215 Kellybrook Dr Concord NC 28025-7100 |
| Practice Telephone | 3215140371 |
| Mailing Telephone | 2257330498 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 N Lafayette St, Suite 4, Shelby, NC 281504482 | 2257330498 |
| Street Address |
640 BREVARD AVE SUITE 104 |
| City | COCOA |
| State | FL |
| Zip Code | 32792-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437282456 | Kimberly Tomlinson | Counselor | 640 Brevard Ave, Suite 102, Cocoa, FL 32922-7849 | 2007-03-13 |
| 1346897030 | Amanda Lucas | Counselor | 640 Brevard Ave, Cocoa, FL 32922 | 2019-08-19 |
| 1134694433 | Cecilia Mary Behrendt | Counselor | 640 Brevard Ave, Cocoa, FL 32922-7849 | 2018-10-12 |
| 1962861286 | Ember Leipert | Counselor | 640 Brevard Ave, Cocoa, FL 32792-2541 | 2016-02-15 |
| 1487088449 | Alyssa Buchanan | Social Worker | 640 Brevard Ave, Cocoa, FL 32922-7849 | 2013-08-27 |
| 1447683545 | Lauren Helvig | Social Worker | 640 Brevard Ave, Cocoa, FL 32922-7849 | 2013-08-13 |
| 1336482231 | Janine M Frahm | Counselor | 640 Brevard Ave, Suite 104, Cocoa, FL 32922-7849 | 2013-03-29 |
| 1396015228 | Paul Drew Warren | Counselor | 640 Brevard Ave, Cocoa, FL 32922-7849 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
| 1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
| 1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
| 1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
| 1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
| 1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
| 1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
| 1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
| 1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
| 1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
| Find all providers in zip 32792 | ||||
| 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 |
|---|---|---|---|---|
| 1598237083 | Jane Hathaway Naylor | Social Worker | 413 N Indian River Dr, Cocoa, FL 32922-7734 | 2018-12-20 |
| 1295200699 | Wanda Ivelisse Arocho | Social Worker | 3402 Echo Ridge Pl, Cocoa, FL 32926-7402 | 2018-10-11 |
| 1336626860 | Ashante S Davis | Social Worker | 6840 Hundred Acre Dr, Cocoa, FL 32927-2980 | 2018-07-27 |
| 1235687377 | Alicia Tuttle | Social Worker | 5790 Falcon Blvd, Cocoa, FL 32927-2315 | 2016-09-19 |
| 1225487804 | Uplift Counseling, LLC | Social Worker | 317 River Edge Blvd Ste 104, Cocoa, FL 32922-7985 | 2016-06-06 |
| 1821460205 | Veronica Natalia Mcknight | Social Worker | 1712 Calvados Dr, Cocoa, FL 32926-5781 | 2015-10-26 |
| 1356647937 | Carrie Elizabeth Piscia | Social Worker | 640 Brevard Ave Ste 104, Cocoa, FL 32922-7849 | 2011-01-31 |
| 1205156106 | Rhea Lucette Gibbs | Social Worker | 317 Riveredge B Lvd., Suite 104, Cocoa, FL 32922 | 2010-06-03 |
| 1205162286 | Susie Glick | Social Worker | 1970 Michigan Ave Ste J2, Cocoa, FL 32922-5732 | 2009-10-26 |
| 1952557068 | Melanie Goff | Social Worker | 317 Riveredge Blvd Ste 104, Cocoa, FL 32922-7985 | 2008-08-09 |
| Find all providers in COCOA | ||||
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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.