JEFFERSON DAY REPORT CENTER, INC. (NPI# 1790130508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790130508 |
| Entity Type | Organization |
| Organization Name | JEFFERSON DAY REPORT CENTER, INC. |
| Practice Address |
121 W. Third Avenue Ranson WV 25425 |
| Practice Telephone | 3047283527 |
| Practice Fax Number | 3047283614 |
| Mailing Telephone | 3047283527 |
| Mailing Fax Number | 3047283614 |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |
| Authorized Official Name | RONDA S EDDY (DIRECTOR) |
| Authorized Official Telephone | 3047283257 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
521 | WV | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
WV | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEFFERSON DAY REPORT CENTER, INC. | 121 W Third Ave, Ranson, WV 25438-1644 |
| Street Address |
121 W. THIRD AVENUE |
| City | RANSON |
| State | WV |
| Zip Code | 25425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083196406 | Megan Sullivan | Physical Therapy Assistant | 3892 Bakerton Rd., Harpers Ferry, WV 25425 | 2018-09-01 |
| 1457522203 | Deborah Mueller Mcgee | Counselor | 821 E Ridge Street, Harpers Ferry, WV 25425 | 2008-03-20 |
| 1710168174 | Ashley Dawn Carroll | Speech-Language Pathologist | 652 Shipley School Rd, Cw Shipley Elem, Harpers Ferry, WV 25425 | 2007-11-14 |
| 1629261409 | Laureen Rita Lipscomb | Dental Hygienist | 1200 Washuington St, Harpers Ferry, WV 25425 | 2007-08-24 |
| 1346367745 | Angela D Cherry | Family Medicine | 171 Taylor Street, Harpers Ferry, WV 25425 | 2007-03-23 |
| 1629122866 | Dr Emily J Mayhew and Dr Edward Smith, Inc | Dentist | 1238 West Washington Street, Harpers Ferry, WV 25425 | 2007-01-23 |
| 1780745968 | John R Mayhew | Dentist | 1200 W. Washington St, Harpers Ferry, WV 25425 | 2006-12-12 |
| 1104834431 | Jane Downey | Physical Therapist | 43 Panama Street, Harpers Ferry, WV 25425 | 2006-08-03 |
| 1093741837 | Bolivar-harpers Ferry Physical Therapy | Clinic/Center | 43 Panama St, Harpers Ferry, WV 25425 | 2006-06-23 |
| 1447259247 | Friendship Fire Company of Harpers Ferry-bolivar W Va | Ambulance | 1000 Washington Street, Harper's Ferry, WV 25425 | 2005-07-14 |
| Find all providers in zip 25425 | ||||
| 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 |
|---|---|---|---|---|
| 1033722400 | Catherine Lee Wood | Social Worker | 67 Waterside Ct, Berkeley Springs, WV 25411-5627 | 2020-08-26 |
| 1154932259 | Katelynn Collins | Social Worker | 101 Dingess St, Logan, WV 25601-3603 | 2020-08-12 |
| 1558986893 | Jenna Renee Mosely Lohnes | Social Worker | 3600 Collins Ferry Rd, Morgantown, WV 26505-2378 | 2020-06-12 |
| 1346861697 | Shane Patrick Lightle | Social Worker | 1249 Meadow Ln, Milton, WV 25541-8577 | 2020-04-28 |
| 1497384812 | Neal Allen Newfield | Social Worker | 1063 Maple Dr # 1, Morgantown, WV 26505-0387 | 2020-04-07 |
| 1780219782 | Kristina Michelle Hash | Social Worker | 451 Ash St, Morgantown, WV 26501-6667 | 2020-03-10 |
| 1043853641 | Erin Impellizzeri | Social Worker | 21 Cool Spring Ln, Charles Town, WV 25414-4648 | 2019-10-26 |
| 1780227850 | Elisa Marie Hickman | Social Worker | 403 Kruger St, Wheeling, WV 26003-5126 | 2019-10-22 |
| 1841832508 | Tiana Jacquelin Lasporgara | Social Worker | 235 High St Ste 311, Morgantown, WV 26505-5455 | 2019-10-15 |
| 1740830504 | Brittany Leanne Henderson | Social Worker | 2401 S Kanawha St Ste 101, Beckley, WV 25801-6967 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
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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.