TINA MICHELLE MATHIS (NPI# 1649827155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649827155 |
| Entity Type | Individual |
| Full Name | TINA MICHELLE MATHIS |
| Practice Address |
206 W 5th St Metropolis IL 62960-1810 |
| Practice Telephone | 6185249368 |
| Mailing Telephone | 6185249368 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
206 W 5TH ST |
| City | METROPOLIS |
| State | IL |
| Zip Code | 62960-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419583 | Brittney Lynn Woods | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-25 |
| 1447863063 | Maribeth Dippie Ethridge-hicks | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-24 |
| 1093327322 | Jessica Weaver | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-08-18 |
| 1023636479 | Jennea Harris | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-07-13 |
| 1831725050 | Shantaye Powell | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-03-19 |
| 1699306332 | Kelsey Mcnichols | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2020-01-31 |
| 1376190884 | Lily Madison Holland | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1629530498 | Cicely Ronielle Shelton | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-04-02 |
| 1013471424 | Dylan Wade Street | Student in an Organized Health Care Education/Training Program | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-01-30 |
| 1336603877 | Cynthia Lynn Dunevnt | Counselor | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069078 | Amber Nicole Garcia | Social Worker | 205 W 5th Street, Metropolis, IL 62960 | 2019-02-13 |
| 1407251622 | Massac County Surgery Center LLC | Clinic/Center | 1811 E 5th St, Metropolis, IL 62960 | 2014-10-30 |
| 1750535761 | Robert Hays Bryan | Dentist | 805 Market St., Metropolis, IL 62960 | 2008-11-05 |
| 1518144682 | Rebecca Louise Mcquage | Counselor | 206 West 5th St, Metropolis, IL 62960 | 2008-01-30 |
| 1154640902 | Syed S Kazmi | Family Medicine | 12 Hospital Drive, Metropolis, IL 62960 | 2007-04-20 |
| 1083736680 | Bharat K Patel Sc | Internal Medicine | 12 Hospital Dr., Memorial Heights, Metropolis, IL 62960 | 2007-04-04 |
| 1467594747 | Peggy Sue Legereit | Speech-Language Pathologist | 3037 Lakeview Dr, Metropolis, IL 62960 | 2007-02-13 |
| 1821150475 | Ruth E Johnson | Counselor | 206 West 5th, Metropolis, IL 62960 | 2006-12-13 |
| 1720140379 | James Allen Haley | Counselor | 206 West 5th Street, Metropolis, IL 62960 | 2006-12-13 |
| 1659432185 | Gary T Brush | Optometrist | 1801 E 5th Street, Metropolis, IL 62960 | 2006-12-12 |
| Find all providers in zip 62960 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069078 | Amber Nicole Garcia | Social Worker | 205 W 5th Street, Metropolis, IL 62960 | 2019-02-13 |
| 1376190884 | Lily Madison Holland | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2019-08-20 |
| 1063985240 | Paul Mcknight | Social Worker | 306 W 8th St, Metropolis, IL 62960-1653 | 2019-01-10 |
| 1558871285 | Paige C Shearer | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2017-10-09 |
| 1477009058 | Tiana Morris | Social Worker | 206 W 5th St, Metropolis, IL 62960-1810 | 2016-09-01 |
| 1194887745 | Saundra Gail Mccurdy | Social Worker | 206 West 5th Street, Metropolis, IL 62960 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295210 | Rachel H Maldonado | Social Worker | 312 Park Ave, Clarendon Hills, IL 60514-0400 | 2020-11-03 |
| 1982204889 | Emily Cotto | Social Worker | 521 S La Grange Rd Ste 201, La Grange, IL 60525-5633 | 2020-10-29 |
| 1689274763 | Matthew L Fetrow | Social Worker | 3001 Green Bay Rd Bldg 7, North Chicago, IL 60064-3048 | 2020-10-28 |
| 1013516517 | Jessica Ann Kurpiel | Social Worker | 244 N Craig Pl, Lombard, IL 60148-2007 | 2020-10-26 |
| 1699375121 | Deanna L Reed | Social Worker | 23819 W Mill St Ste 9, Plainfield, IL 60544-3460 | 2020-10-26 |
| 1285233825 | Grace Harrington | Social Worker | 1040 North Blvd Ste 225, Oak Park, IL 60301-1143 | 2020-10-24 |
| 1881293579 | Sheri Mccue | Social Worker | 4209 W Shamrock Ln # 1a, Mchenry, IL 60050-8700 | 2020-10-22 |
| 1811595325 | Veronica Lozano | Social Worker | 1 E Erie St Ste 525-4066, Chicago, IL 60611-2740 | 2020-10-16 |
| 1336747633 | Latrisha Mooberry | Social Worker | 2001 W Willow Knolls Dr Ste 210, Peoria, IL 61614-1257 | 2020-10-09 |
| 1285231688 | Alyssa Oddo | Social Worker | 2011 Gladstone Dr, Wheaton, IL 60189-5825 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | METROPOLIS |
| Zip Code | 62960 |
Please comment or provide details below to improve the information on TINA MICHELLE MATHIS.
| 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.