LAWRENCE MCNICKLES (NPI# 1689189334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689189334 |
| Entity Type | Individual |
| Full Name | LAWRENCE MCNICKLES |
| Practice Address |
3740 Glenway Ave Cincinnati OH 45205-1354 |
| Practice Telephone | 5133545200 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2018-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LICENSURE | N-A-1 | 01 |
| Street Address |
3740 GLENWAY AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45205-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710942289 | Alice K. Roseberry | Social Worker | 3740 Glenway Ave, Cincinnati, OH 45205-1354 | 2006-04-19 |
| 1609389519 | Pamela Wilz | Counselor | 3740 Glenway Ave, Cincinnati, OH 45205-1354 | 2017-11-14 |
| 1427246073 | Casie Germain Dorko | Social Worker | 3740 Glenway Ave, Cincinnati, OH 45205-1354 | 2007-10-09 |
| 1124151196 | Jessica James Donohue | Social Worker | 3740 Glenway Ave, Cincinnati, OH 45205-1354 | 2007-03-13 |
| 1588600811 | Anita Deluna Bechtold Sr. | Social Worker | 3740 Glenway Ave, Cincinnati, OH 45205-1354 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366083669 | Tangela Faulkner | Home Health Aide | 345 Crestline Ave, Cincinnati, OH 45205 | 2019-10-08 |
| 1447723317 | Dimitrius M Wilcox | Licensed Practical Nurse | Dimitrius Wilcox, 805 Woodlawn Ave Fl #2, Cincinnati, OH 45205 | 2019-01-03 |
| 1487165320 | Marnequca Mccollum | Adult Companion | 1211 Purcell Ave, Cincinnati, OH 45205 | 2017-10-18 |
| 1669844825 | Sherry Steele | Home Health Aide | 75o Grand Ave, Apt 511, Cincinnati, OH 45205 | 2015-10-28 |
| 1841671104 | Antonette Nicole Sellers | Nurse's Aide | 3424 Price Ave, Cincinnati, OH 45205 | 2015-06-12 |
| 1053692798 | Joann Marie Howland | Registered Nurse | 550 Enright Avenue, Cincinnati, OH 45205 | 2011-09-08 |
| 1366632556 | Alice Jean Rich | Licensed Practical Nurse | 3610 West 8th Street, Homecare Symone Huckaby, Cincinnati, OH 45205 | 2007-07-25 |
| 1578639746 | Patricia A Huston | Social Worker | 284 Elberon Ave, Cincinnati, OH 45205 | 2006-11-28 |
| 1124534854 | Rebecca Bushman | Social Worker | 3730 Glenway Ave, Cincinnati, OH 45205 | 2017-12-18 |
| 1255987921 | Care Partners of Cincinnati Home Care LLC | Home Health | 1712 Gellenbeck St, Cincinnati, OH 45205-1006 | 2019-08-17 |
| Find all providers in zip 45205 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1679170518 | Keana Eakins | Case Manager/Care Coordinator | 432 Ray Norrish Dr Ste B, Cincinnati, OH 45246-1520 | 2020-10-05 |
| 1992318596 | Janelle Selina Hocker | Case Manager/Care Coordinator | 3439 Knott St, Cincinnati, OH 45229-3109 | 2020-08-25 |
| 1215547450 | Erica Tivis | Case Manager/Care Coordinator | 2711 E Tower Dr Apt 108, Cincinnati, OH 45238-2655 | 2020-08-03 |
| 1629696687 | Albert Antonio Bailey Jr. | Case Manager/Care Coordinator | 432 Ray Norrish Dr # B, Cincinnati, OH 45246-1520 | 2020-07-07 |
| 1669005286 | Zachary Nordyke | Case Manager/Care Coordinator | 5880 Winton Ridge Ln, Cincinnati, OH 45232-1121 | 2020-02-21 |
| 1962035717 | Ronda Sue Gadd | Case Manager/Care Coordinator | 4550 Red Bank Rd, Cincinnati, OH 45227-2118 | 2020-02-20 |
| 1659902195 | Keeshon Taylor | Case Manager/Care Coordinator | 3643 Fyffe Ave, Cincinnati, OH 45211-6114 | 2020-02-03 |
| 1194382192 | Lauren Michelle Breadon | Case Manager/Care Coordinator | 4966 Glenway Ave Ste 205, Cincinnati, OH 45238-3917 | 2019-05-24 |
| 1649736000 | Ian A Gentry | Case Manager/Care Coordinator | 3962 Glenmore Ave, Cincinnati, OH 45211-3534 | 2019-02-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45205 |
Please comment or provide details below to improve the information on LAWRENCE MCNICKLES.
| 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.