A NEW LEAF THERAPEUTIC SERVICES, PLLC (NPI# 1710391867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710391867 |
| Entity Type | Organization |
| Organization Name | A NEW LEAF THERAPEUTIC SERVICES, PLLC |
| Practice Address |
920 Cambridge St Fayetteville NC 28303-5300 |
| Practice Telephone | 9108493355 |
| Mailing Telephone | 9108493355 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2017-02-01 |
| Authorized Official Name | MS. JUDITH J. HILL (OWNER) |
| Authorized Official Telephone | 9104933555 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
920 CAMBRIDGE ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730896 | Makenzie Wise | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-11-02 |
| 1154929990 | Kelsey Byrd | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-10-14 |
| 1083211650 | Ashley Ocker | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-10-06 |
| 1245837277 | Jessica Haring | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-10-02 |
| 1417554452 | Breonna Johnson | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-10-02 |
| 1528673563 | Alyssa Murdock | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-09-15 |
| 1972117331 | Natalee Rodriguez | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-09-03 |
| 1780296327 | Megan Eaton | Speech-Language Pathologist | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-08-17 |
| 1710595301 | Jenna Alexa Abrams | Social Worker | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-07-20 |
| 1063039998 | Tameka Jacobs | Behavior Technician | 920 Cambridge St, Fayetteville, NC 28303-5300 | 2020-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| 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 |
|---|---|---|---|---|
| 1700484201 | Torrie Luciana Powell | Social Worker | 3526 Standard Dr, Fayetteville, NC 28306-8089 | 2020-10-15 |
| 1053918169 | Activelife Counseling, LLC | Social Worker | 1792 E Joyce Blvd Ste 105, Fayetteville, AR 72703-5253 | 2020-10-02 |
| 1861004996 | Roderick Eugene Brown Jr. | Social Worker | 2014 Litho Pl Ste 200, Fayetteville, NC 28304-2518 | 2020-08-19 |
| 1427667278 | Valerie Russell | Social Worker | 6209 Lakehaven Dr, Fayetteville, NC 28304-0610 | 2020-07-28 |
| 1942822671 | Alexis Oneal Vestal | Social Worker | 723 Athens Ave, Fayetteville, NC 28301-4800 | 2020-05-15 |
| 1346862281 | Heather Marie Sroka | Social Worker | 690 N Reilly Rd # F, Fayetteville, NC 28303-5724 | 2020-05-14 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1730716887 | Denise Rodriguez | Social Worker | 2885 N Brookbury Xing, Fayetteville, AR 72703-4377 | 2020-03-26 |
| 1982239877 | Alicia Story | Social Worker | 3035 Boone Trail Ext, Fayetteville, NC 28304-3992 | 2020-03-11 |
| 1053959619 | Benlyd Colon | Social Worker | 2940 Breezewood Ave Ste 101-201, Fayetteville, NC 28303-5520 | 2019-12-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
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| 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.