MR. HARVEY PHILLIP JEFFERSON II (NPI# 1710302229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710302229 |
| Entity Type | Individual |
| Full Name | MR. HARVEY PHILLIP JEFFERSON II |
| Practice Address |
5304 Sandwood Dr Indianapolis IN 46235-9782 |
| Practice Telephone | 3178280573 |
| Practice Fax Number | 3170000000 |
| Mailing Telephone | 3178280573 |
| Mailing Fax Number | 3170000000 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 104100000X | IN | Behavioral Health & Social Service Providers |
| Street Address |
5304 SANDWOOD DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46235-9782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313769 | Patricia Woodfaulk | Student in an Organized Health Care Education/Training Program | 4660 Birmingham Drive, Indianapolis, IN 46235 | 2019-08-30 |
| 1447743794 | Pamela Zirkle | Counselor | 4126 E. 10th St., Indianapolis, IN 46235 | 2018-06-12 |
| 1619467560 | Ronkisha L Russell | Behavior Technician | 9905 Fallcreek Rd, Indianapolis, IN 46235 | 2018-05-16 |
| 1386134690 | Kaitlin Abigail Waltz | Behavior Technician | 9905 Fall Creek Rd., Indianapolis, IN 46235 | 2018-05-11 |
| 1386132546 | Alexis Halpen | Behavior Technician | Damar Aba, 9905 Fall Creek Rd, Indianapolis, IN 46235 | 2018-04-24 |
| 1881712719 | Georgia Marie Brooks | Registered Nurse | 4065 Congaree Drive, Indianapolis, IN 46235 | 2007-03-27 |
| 1417042003 | The Health and Hospital Corporation of Marion County | Pharmacy | 9443 E 38th St, Indianapolis, IN 46235 | 2006-10-03 |
| 1366869828 | Mark M. Jamerson | Counselor | 9612 English Oak Dr, Indianapolis, IN 46235-1100 | 2014-03-23 |
| 1679981476 | Sylvester Carr Jr. | Counselor | 9443 Pepperidge Dr, Indianapolis, IN 46235-1162 | 2014-07-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| Find all providers in zip 46235 | ||||
| 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 |
|---|---|---|---|---|
| 1588272520 | Lotus Family Services, LLC | Social Worker | 5699 E 71st St Ste 3a, Indianapolis, IN 46220-3950 | 2020-07-15 |
| 1730701855 | Crystal Wade | Social Worker | 10291 N Meridian St Ste 250, Indianapolis, IN 46290-1076 | 2020-05-12 |
| 1619500634 | Sheila Grim | Social Worker | 10026 E 21st St Ste 19, Indianapolis, IN 46229-1802 | 2020-02-18 |
| 1992344485 | Kellee Hawkins Coleman | Social Worker | 7031 Tamarind Ct, Indianapolis, IN 46236-8306 | 2019-12-31 |
| 1639713332 | Anikra Holland | Social Worker | 3921 N Meridian St, Indianapolis, IN 46208-4061 | 2019-11-05 |
| 1881258515 | Taylor Deshawn Williams | Social Worker | 7020 Grosvenor Pl, Indianapolis, IN 46220-4141 | 2019-04-29 |
| 1013571967 | Justine Dietz | Social Worker | 2345 S Lynhurst Dr Ste 108, Indianapolis, IN 46241-5100 | 2019-04-25 |
| 1033680939 | Barbara Elaine Mcdannell | Social Worker | 7941 Castleway Dr, Indianapolis, IN 46250-1953 | 2018-12-17 |
| 1790250272 | Ashley N Welch | Social Worker | 3639 N Raceway Rd Ste 400, Indianapolis, IN 46234-1678 | 2018-10-10 |
| 1497230304 | Keyanna Marie Evans | Social Worker | 5510 Rue Marceau, Indianapolis, IN 46220-5574 | 2018-09-26 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46235 |
Please comment or provide details below to improve the information on MR. HARVEY PHILLIP JEFFERSON II.
| 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.