MR. JOHN RICHARD DECARLIS (NPI# 1710172457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710172457 |
| Entity Type | Individual |
| Full Name | MR. JOHN RICHARD DECARLIS |
| Credential | LCSW-C |
| Practice Address |
10411 W 145th Ter Overland Park KS 66221-2550 |
| Practice Telephone | 9134998096 |
| Mailing Telephone | 9134998096 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2011-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2010038259 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
13115 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1710172457 | 05 | |
| MO | 1710172457 | 05 |
| Street Address |
10411 W 145TH TER |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66221-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750936290 | Roling Chiropractic and Wellness LLC | Chiropractor | 11818 W 135th St, Overland Park, KS 66221 | 2019-08-01 |
| 1518519339 | Joshua Dale Roling | Chiropractor | 11818 West 135th Street, Overland Park, KS 66221 | 2019-07-11 |
| 1225508898 | Keaghan Michelle Shacklett | Specialist/Technologist | 13747 Cody St., Overland Park, KS 66221 | 2018-11-27 |
| 1215341003 | Creighton Gallagher, Dds LLC | Dentist | 8925 W 135th Street, Overland Park, KS 66221 | 2014-06-19 |
| 1508201963 | Jessica Mary Molstad | Nurse Practitioner | 11400 W. 135th Street, Overland Park, KS 66221 | 2013-04-29 |
| 1659687739 | Willie K Yuen | Physical Therapist | 11504 W 135th St., Performance Rehab. LLC, Overland Park, KS 66221 | 2010-08-26 |
| 1730414970 | Sue A. Klein | Physical Therapist | 11504 W. 135th St., Overland Park, KS 66221 | 2009-10-06 |
| 1538375407 | Michelle Tims | Occupational Therapist | 9101 158th St, Overland Park, KS 66221 | 2007-05-15 |
| 1124249321 | Choice of Health Pa | Chiropractor | 9120 W 135th Street, Suite 205, Overland Park, KS 66221 | 2007-05-02 |
| 1396830980 | Heartland Diabetic Supplies LLC | Non-Pharmacy Dispensing Site | 10703 W. 149th Street, Overland Park, KS 66221 | 2006-10-03 |
| Find all providers in zip 66221 | ||||
| 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 |
|---|---|---|---|---|
| 1932708815 | Creative Solutions Consulting and Advocacy LLC | Social Worker | 8407 W 97th Ter, Overland Park, KS 66212-3341 | 2020-10-21 |
| 1699312611 | Marian Swartz | Social Worker | 9900 Farley Ln, Overland Park, KS 66212-5408 | 2019-12-09 |
| 1093298119 | Sheetal Kakarala | Social Worker | 14107 England St, Overland Park, KS 66221-2147 | 2018-09-13 |
| 1932646676 | Erin Cox LLC | Social Worker | 6811 Shawnee Mission Parkway, Suite 310, Overland Park, KS 66202-4088 | 2017-01-19 |
| 1225587454 | Adoption Option, Inc | Social Worker | 12754 Goddard Ave, Overland Park, KS 66213-3428 | 2016-09-29 |
| 1740631449 | Katherine Sterrett | Social Worker | 13651 Hauser St Apt 108, Overland Park, KS 66221-2929 | 2016-06-24 |
| 1902261738 | Renee Silver | Social Worker | 12222 Beverly St, Overland Park, KS 66209-2700 | 2015-12-21 |
| 1265874234 | Lauren Ashley Moret-glass | Social Worker | 8002 W 145th Ter, Overland Park, KS 66223-3342 | 2013-07-19 |
| 1922342609 | Lidia Young | Social Worker | 7111 W. 151st St., #109, Overland Park, KS 66223-2231 | 2012-11-19 |
| 1821348160 | Pamela Jean Hamilton | Social Worker | 7930 Sante Fe Drive, Suite 108, Overland Park, KS 66204 | 2012-09-13 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66221 |
Please comment or provide details below to improve the information on MR. JOHN RICHARD DECARLIS.
| 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.