WELLNESS LOFT INC.


Address: 408 South 4th St., Effingham, IL 62401
Phone: 2173475118

WELLNESS LOFT INC. (NPI# 1689926487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689926487
Entity Type Organization
Organization Name WELLNESS LOFT INC.
Practice Address 408 South 4th St.
Effingham
IL 62401
Mailing Address 408 S 4th St
Effingham
IL 62401-3703
Practice Telephone 2173475118
Practice Fax Number 2173477609
Mailing Telephone 2173475118
Mailing Fax Number 2173477609
Enumeration Date 2012-10-04
Last Update Date 2013-01-28
Authorized Official Name MRS. AMY M GUY (DIRECTOR)
Authorized Official Telephone 2173475118
Authorized Official Credential MS, LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
180.006036 IL Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
180000748 IL Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
180002037 IL Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
149011337 IL Behavioral Health & Social Service Providers

Office Location

Street Address 408 SOUTH 4TH ST.
City EFFINGHAM
State IL
Zip Code 62401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568021269 Rhodes To Health, LLC Chiropractor 200 E. Fayette Ave, Effingham, IL 62401 2019-06-07
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1033632187 Diel Counseling Inc. Counselor 444 S. Willow #7, Effingham, IL 62401 2017-07-20
1770930968 Community Support Systems Intermediate Care Facility, Mentally Retarded 2311 Veterans Drive, Effingham, IL 62401 2016-05-18
1194107102 Radhika Annam Internal Medicine 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 2015-06-25
1912334558 Ruben Boyajian, Md Surgery 904 Medical Park Drive, Suite 2, Effingham, IL 62401 2013-09-27
1427483502 Daniel E Czajkowski Physical Therapist 2611 S Banker St, Effingham, Il, Effingham, IL 62401 2013-09-09
1093140501 Lifetime Dental Care of Maryland, Badger, P.C. Dentist 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 2013-09-04
1598011470 Patricia R. Diel Social Worker 444 S. Willow, Suite 7, Effingham, IL 62401 2012-07-30
1952699894 Jonathan Workman Orthopaedic Surgery 1303 W Evergreen Ave Ste 101, Effingham, IL 62401 2011-07-13
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780218545 Tamara Nanette Jones Social Worker 1011 Ford Ave, Effingham, IL 62401-1701 2020-03-02
1114497336 Jamie Lee Mcclain Social Worker 1200 N 4th St, Effingham, IL 62401-3032 2018-11-30
1659867794 Beth Stundon Social Worker 405 S 3rd St, Effingham, IL 62401-3711 2018-07-02
1801384284 Heather Christine Kelly Social Worker 1901 S 4th St Ste 213, Effingham, IL 62401-4188 2018-05-01
1083117352 Janet Lynn Strange Social Worker 1106 N Merchant St, Effingham, IL 62401-2128 2018-03-13
1710490107 Afthan Reents Social Worker 1200 N 4th St, Effingham, IL 62401-3032 2017-11-08
1710336268 Emily Anne Schall Social Worker 405 S 3rd St, Effingham, IL 62401-3711 2016-06-06
1922009869 Cheryl Lynn Compton Social Worker 1200 N 4th St, Effingham, IL 62401-3032 2005-08-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447851241 Courtney A Behrens Social Worker 150 Deerpath Rd, Algonquin, IL 60102-1861 2020-11-06
1801497623 Sedulous Counseling & Consulting Services Pllc Social Worker 15255 S 94th Ave # 508, Orland Park, IL 60462-3800 2020-11-06
1295336022 Web Healing Collective Pllc Social Worker 6207 N Springfield Ave, Chicago, IL 60659-1015 2020-11-06
1174124036 Reginald Washington Edwards Social Worker 18660 Walnut Ave, Country Club Hills, IL 60478-5549 2020-11-05
1881295186 Belva Marie Dibert Social Worker 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 2020-11-03
1801496468 Monica Dushane Social Worker 125 N Buffalo Grove Rd Apt 110, Buffalo Grove, IL 60089-1722 2020-10-31
1528668373 Stephanie Caballero Novak Social Worker Life Care Wellness, Inc., 800 Roosevelt Rd Building C Suite 206, Glen Ellyn, IL 60137 2020-10-30
1598365488 Karyssa Lee Haase Social Worker 745 E Court St, Paris, IL 61944-2460 2020-10-29
1699375592 Andrea Doherty Social Worker 526 Keystone Ave, River Forest, IL 60305-1612 2020-10-29
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
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Competitor

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City EFFINGHAM
Zip Code 62401

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Dataset Information

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.

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