HOLLY M CLEVENGER (NPI# 1760018691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760018691 |
| Entity Type | Individual |
| Full Name | HOLLY M CLEVENGER |
| Credential | MSW |
| Practice Address |
2200 N Section St Sullivan IN 47882-7523 |
| Mailing Address |
Po Box 10 Sullivan IN 47882-0010 |
| Practice Telephone | 8122684311 |
| Mailing Telephone | 8122684311 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912313933 | Holly J Clevenger | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2014-07-10 |
| Street Address |
2200 N SECTION ST |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-7523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759260 | Sullivan County Community Hospital | General Acute Care Hospital | 2200 N Section St, Sullivan, IN 47882-7523 | 2005-06-09 |
| 1154939320 | Sullivan County Community Hospital | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-07-14 |
| 1710479084 | Jessica A Dean-hester | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2018-06-03 |
| 1902278476 | Jessica Myers | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2015-10-23 |
| 1891193314 | Community Medical Imaging Inc | Radiology | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-12-16 |
| 1154741296 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-16 |
| 1063831527 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-14 |
| 1518187012 | Angela Beth Sagarsee | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-26 |
| 1104045871 | Traci Ann Ray | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-24 |
| 1134343122 | R. Vedala and Associates, LLC | Radiology | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
| Find all providers in zip 47882 | ||||
| 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 |
|---|---|---|---|---|
| 1023670445 | Rabecca Catherine Cole | Social Worker | N3943 Liberty St, Sullivan, WI 53178-9624 | 2019-07-05 |
| 1306990064 | Elizabeth Scott | Social Worker | 213 Sewell St, Sullivan, MO 63080-2023 | 2007-01-22 |
| 1407470537 | Katie Dominique Sammon | Social Worker | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2020-06-04 |
| 1518383165 | Janis Cheek | Social Worker | 2134 Mary Sherman Dr, Sullivan, IN 47882-7625 | 2014-03-06 |
| 1164660775 | David L Cole | Social Worker | 12 W Harrison St, Sullivan, IL 61951-1907 | 2009-02-04 |
| 1780862201 | Aleta Diane Beaty | Social Worker | 101 Progress Pkwy, Sullivan, MO 63080 | 2008-02-06 |
| 1851462097 | Sharon M Jackson | Social Worker | 965 Mattox Dr, Sullivan, MO 63080-2365 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304059 | Peter B Qualy | Social Worker | 6552 Lana Ct E, New Palestine, IN 46163-9777 | 2020-10-20 |
| 1053910497 | Ellen Minter | Social Worker | 7108 Broadway Apt 1a, Merrillville, IN 46410-3469 | 2020-10-17 |
| 1942808886 | Joan Marie Witt | Social Worker | 205 E Hickory Ln, Indianapolis, IN 46227-2447 | 2020-10-13 |
| 1508464678 | Paris Counseling LLC | Social Worker | 3209 W Smith Valley Rd Ste 216, Greenwood, IN 46142-8510 | 2020-10-12 |
| 1356948806 | Hoosier Therapist LLC | Social Worker | 1371 Turkington Ct, Greenwood, IN 46143-5518 | 2020-10-07 |
| 1821695008 | Belinda Shelton Gamble | Social Worker | 9650 E Washington St Ste 245, Indianapolis, IN 46229-3032 | 2020-10-01 |
| 1710594783 | Shirley L Story-nelson | Social Worker | 4956 Washington St, Gary, IN 46408-4609 | 2020-09-24 |
| 1972118156 | Natasha Bragg | Social Worker | 12021 Northface Dr, Noblesville, IN 46060-9412 | 2020-09-14 |
| 1225642234 | Charlotte Cox | Social Worker | 124 N Oriental St, Indianapolis, IN 46202-3842 | 2020-09-07 |
| 1477167641 | Laura Marie Lines | Social Worker | 9165 Otis Ave Ste 215, Indianapolis, IN 46216-2316 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HOLLY M CLEVENGER.
| 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.