JACQUELINE SUE CHAMBLISS (NPI# 1760418693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760418693 |
| Entity Type | Individual |
| Full Name | JACQUELINE SUE CHAMBLISS |
| Credential | LCSW |
| Practice Address |
10159 E 11th St Suite 100 Tulsa OK 74128-3058 |
| Mailing Address |
10159 E. 11th Suite 100 Tulsa OK 74128 |
| Practice Telephone | 9188355033 |
| Practice Fax Number | 9188355760 |
| Mailing Telephone | 9188355033 |
| Mailing Fax Number | 9188355760 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2718 | OK | Behavioral Health & Social Service Providers |
| Street Address |
10159 E 11TH ST SUITE 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74128-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407321672 | Anthony Jacob Yount | Nurse Practitioner | 10159 E 11th St, Tulsa, OK 74128-3058 | 2018-10-03 |
| 1366817751 | Leah Marie Jappe Hall | Psychologist | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-12-10 |
| 1316335664 | Muskogee Vamc | Clinic/Center | 10159 E 11th St, Tulsa, OK 74128-3058 | 2015-01-08 |
| 1235491358 | Eileen Lyon | Social Worker | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2012-06-14 |
| 1396072351 | Diane Cassody Wiseman | Counselor | 10159 E 11th St, Tulsa, OK 74128-3058 | 2009-11-12 |
| 1073709721 | Christina Angelena Perez-lanik | Social Worker | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2007-09-17 |
| 1023104262 | Peter Charles Ciali | Counselor | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2006-10-05 |
| 1427164193 | Dennis England | Social Worker | 10159 E 11th St, Tulsa, OK 74128-3058 | 2006-08-22 |
| 1689787244 | Jayne Rhea Oertle | Counselor | 10159 E 11th St, Tulsa, OK 74128-3058 | 2006-08-17 |
| 1861505034 | Ralph Edward Manning | Counselor | 10159 E 11th St, Suite 100, Tulsa, OK 74128-3058 | 2006-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639720352 | Nicole Piggee | Technician | 10548 East 5th Street, Tulsa, OK 74128 | 2019-09-24 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1821434523 | Ta'vionna Danielle Polley-davis (whayne) | Counselor | 1148 E. 20th St, Unit A, Tulsa, OK 74128 | 2013-05-21 |
| 1881753572 | Mashovin Home Health Care, Inc. | Home Health | 12131 East Skelly Drive, Tulsa, OK 74128 | 2006-12-08 |
| 1023064300 | Brookhaven Hospital Inc. | Rehabilitation Unit | 201 S Garnett Rd, Tulsa, OK 74128 | 2006-05-26 |
| 1841689189 | David L Hinman | Counselor | 2001 S Garnett Rd, Suite G, Tulsa, OK 74128 | 2015-01-09 |
| 1992019582 | Ryan John Wilson | Counselor | 2725 E. Skelly Dr., Suite 202, Tulsa, OK 74128 | 2010-08-06 |
| 1376786590 | Dana Furtado | Social Worker | Department of Veterans Affairs, 10159 E. 11th Street, Suite #100, Tulsa, OK 74128 | 2009-04-17 |
| 1033391370 | Genevieve Dulan | Family Medicine | 10912 E 14th St, Tulsa, OK 74128 | 2007-11-28 |
| 1215098017 | Paul Chesley Cochran | Psychiatry & Neurology | 141 S Garnett Rd, Tulsa, OK 74128 | 2006-12-13 |
| Find all providers in zip 74128 | ||||
| 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 |
|---|---|---|---|---|
| 1376182337 | Tina Francis Counseling, LLC | Social Worker | 4870 S Lewis Ave Ste 125, Tulsa, OK 74105-5141 | 2019-12-22 |
| 1295373777 | Heartland Resolution Therapy, LLC | Social Worker | 4821 S Sheridan Rd Ste 217, Tulsa, OK 74145-5716 | 2019-12-16 |
| 1588200646 | Frank Parrinello | Social Worker | 2450 N Harvard Ave, Tulsa, OK 74115-3140 | 2019-11-25 |
| 1124676424 | Weconnectcounseling | Social Worker | 3015 E Skelly Dr Ste 313, Tulsa, OK 74105-6366 | 2019-08-29 |
| 1912567132 | Marianne James Brett | Social Worker | 4815 S Harvard Ave Ste 418, Tulsa, OK 74135-3068 | 2019-06-19 |
| 1700354420 | Karin Price | Social Worker | 7335 S Lewis Ave Ste 204, Tulsa, OK 74136-6896 | 2018-11-12 |
| 1598252884 | Beth Alison Peck | Social Worker | 10159 East 11th Street, Tulsa, OK 74128 | 2018-04-23 |
| 1841704301 | Susan Miller | Social Worker | 2502 E 71st St, Tulsa, OK 74136-5531 | 2017-11-20 |
| 1740799279 | Mary Beth Ritchie | Social Worker | 6010 S Atlanta Pl, Tulsa, OK 74105-7521 | 2017-09-27 |
| 1225566375 | Angela Bauer | Social Worker | 5512 S Lewis Ave Ste 8b, Tulsa, OK 74105-7140 | 2017-06-01 |
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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.