MISS NICHOL SPECIALE (NPI# 1710596572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710596572 |
| Entity Type | Individual |
| Full Name | MISS NICHOL SPECIALE |
| Credential | LCSW |
| Practice Address |
3700 Kerry Blvd Springfield IL 62712-5858 |
| Practice Telephone | 8476503978 |
| Mailing Telephone | 8476503978 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149019522 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3700 KERRY BLVD |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62712-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1548351703 | Sarah Megan Toland | Speech-Language Pathologist | 3700 Castle Hill Blvd, Springfield, IL 62712 | 2006-09-27 |
| 1558463760 | Beverly J Matthews | Psychologist | 3517 Carnoustie Dr, Springfield, IL 62712 | 2006-09-01 |
| 1164593018 | Mark Alan Rose | Dentist | 6301 Wind Tree Rd, Springfield, IL 62712-3738 | 2006-11-13 |
| 1457392227 | Matticks Medcon LLC | Durable Medical Equipment & Medical Supplies | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2006-06-10 |
| 1265602452 | Roderick L Matticks | Family Medicine | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2008-03-04 |
| 1134321581 | Donna Maria Matticks | Developmental Therapist | 6309 Wind Tree Rd, Springfield, IL 62712-3738 | 2007-06-05 |
| 1134595531 | Karen Brown | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2015-08-19 |
| 1255834651 | Denise Kay Demoulin | Speech-Language Pathologist | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2018-03-12 |
| 1275089302 | Victoria Branda | Behavioral Analyst | 15 E Hazel Dell Ln, Springfield, IL 62712-4210 | 2016-08-29 |
| Find all providers in zip 62712 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| 1013559509 | Keeley Casteel | Social Worker | 1901 E Bennett St Ste B, Springfield, MO 65804-1427 | 2019-10-16 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62712 |
Please comment or provide details below to improve the information on MISS NICHOL SPECIALE.
| 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.