MITZI SUZANNE MCBRIDE (NPI# 1720086929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720086929 |
| Entity Type | Individual |
| Full Name | MITZI SUZANNE MCBRIDE |
| Credential | LCSW |
| Practice Address |
119 Pedigo Road Suite F Madisonville TN 37354 |
| Mailing Address |
Department 888182 Knoxville TN 37995-8182 |
| Practice Telephone | 4234425280 |
| Practice Fax Number | 4234428127 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LSW4740 | TN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW6249 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3987500 | 05 |
| Street Address |
119 PEDIGO ROAD SUITE F |
| City | MADISONVILLE |
| State | TN |
| Zip Code | 37354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487043568 | Tracy Andel | Registered Nurse | 3469 North Highway 68, Madisonville, TN 37354 | 2015-01-13 |
| 1053454876 | Tennie Clarice Lewis | Registered Nurse | 3439 New Hwy 68, Madisonville, TN 37354 | 2007-02-14 |
| 1669527230 | State of Tennessee | Clinic/Center | 3469 New Highway 68, Madisonville, TN 37354 | 2007-01-24 |
| 1306801907 | East Tennessee Health Care Inc | Skilled Nursing Facility | 465 Isbill Rd, Madisonville, TN 37354 | 2006-04-18 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1710958129 | Gary Lee Fields | Chiropractor | 4900 New Hwy 68, Madisonville, TN 37354 | 2006-02-01 |
| 1437601036 | Starla Swaney | Nurse Practitioner | 167 Warren St, Madisonville, TN 37354 | 2016-10-30 |
| 1144610304 | Laura Jo Vacheresse | Social Worker | 4798 New Highway 68, Madisonville, TN 37354 | 2015-01-27 |
| 1205122587 | Linda W Boyatt | Nurse Practitioner | 4233 Highway 411, Madisonville, TN 37354 | 2011-06-24 |
| 1548427586 | Chota Community Health Services | Clinic/Center | 4798 New Highway 68, Madisonville, TN 37354 | 2008-05-19 |
| Find all providers in zip 37354 | ||||
| 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 |
|---|---|---|---|---|
| 1093358384 | Shawn Mclaughlin | Social Worker | 209 Black Oak Ln, Madisonville, LA 70447-9365 | 2019-10-19 |
| 1235770918 | Jami Coyle | Social Worker | 200 Clinic Dr Fl 1, Madisonville, KY 42431-1661 | 2019-10-03 |
| 1568923969 | Kathy Tichenor Counseling LLC | Social Worker | 190 Madison Square Dr Ste D, Madisonville, KY 42431-2785 | 2019-03-28 |
| 1225459001 | Alecia Hasselbeck | Social Worker | 16181 Indian Point Dr, Madisonville, LA 70447 | 2013-12-23 |
| 1184813578 | Trover Center for Behavioral Health | Social Worker | 630 N Franklin St, Madisonville, KY 42431-1617 | 2007-10-22 |
| 1225138449 | Elizabeth Bourne Webb | Social Worker | 4915 Hanson Road, Madisonville, KY 42431 | 2006-09-25 |
| 1386609956 | Tamela K King | Social Worker | 520 Cook Street, Madisonville, TN 37354 | 2006-04-18 |
| 1629076823 | Linda Christine Sparks | Social Worker | 119 Pedigo Rd, Suite F, Madisonville, TN 37354-4438 | 2005-07-12 |
| 1548268766 | Terri Murr Block | Social Worker | 4798 New Highway 68, Madisonville, TN 37354-1287 | 2005-07-12 |
| 1275152563 | Matthew Harvey | Social Worker | 4798 New Highway 68, Madisonville, TN 37354-1287 | 2020-04-16 |
| Find all providers in MADISONVILLE | ||||
| City | MADISONVILLE |
| Zip Code | 37354 |
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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.