CHRISTINE ANN WALLER (NPI# 1629555677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629555677 |
| Entity Type | Individual |
| Full Name | CHRISTINE ANN WALLER |
| Credential | LICSW |
| Practice Address |
125 Fox Harbor Dr Troy OH 45373-1088 |
| Practice Telephone | 4136270152 |
| Mailing Telephone | 4136270152 |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
115461 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588826705 | Christine Joanne Waller | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2008-06-29 |
| 1346453552 | Christine Diane Waller | Emergency Medicine | 114 Executive Dr Ste E, Lafayette, IN 47905-4875 | 2007-05-07 |
| Street Address |
125 FOX HARBOR DR |
| City | TROY |
| State | OH |
| Zip Code | 45373-1088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| 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 |
|---|---|---|---|---|
| 1629676275 | Chester Counseling LLC | Social Worker | 2833 Crooks Rd Ste 104, Troy, MI 48084-4732 | 2020-10-15 |
| 1053922344 | Dejuana Mcgee | Social Worker | 555 Kirts Blvd Apt 9, Troy, MI 48084-4105 | 2020-08-11 |
| 1780220939 | Meagan Hahn | Social Worker | 2032 E Square Lake Rd Ste 200d, Troy, MI 48085-3315 | 2019-11-22 |
| 1679124523 | Rachel K Garrett | Social Worker | 201 Randolph St, Troy, AL 36081-4529 | 2019-09-23 |
| 1801440367 | Ashley Kays Zair, Lmsw, LLC | Social Worker | 3290 W. Big Beaver Rd., Suite 188, Troy, MI 48084-2915 | 2019-08-01 |
| 1255984860 | Inner Guidance Counseling Center, Pllc | Social Worker | 625 E Big Beaver Rd Ste 104, Troy, MI 48083-1413 | 2019-07-23 |
| 1205499100 | Kathleen A Becker Lmsw LLC | Social Worker | 650 E Big Beaver Rd Ste B, Troy, MI 48083-1432 | 2019-04-16 |
| 1063980563 | Rapha Counseling | Social Worker | 3668 Livernois Rd Ste 420, Troy, MI 48083-5035 | 2018-11-02 |
| 1104303734 | Samantha Voss | Social Worker | 575 E Big Beaver Rd Ste 210, Troy, MI 48083-1301 | 2018-07-26 |
| 1619467982 | Charlotte Rowe | Social Worker | 2376 Highbury Dr, Troy, MI 48085-3812 | 2018-05-12 |
| Find all providers in TROY | ||||
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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.