MRS. KOURTNEY MARIE GALLEGOS (NPI# 1831644319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831644319 |
| Entity Type | Individual |
| Full Name | MRS. KOURTNEY MARIE GALLEGOS |
| Other Name | MISS KOURTNEY MARIE VAN ZANT |
| Credential | MSW |
| Practice Address |
421 S Walnut St Ste 200 Muncie IN 47305-2484 |
| Mailing Address |
645 S Rogers St Bloomington IN 47403-2353 |
| Practice Telephone | 7652881790 |
| Mailing Telephone | 8123391691 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
34008725A | IN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 725 S Broadway St, Pendleton, IN 460641305 | 7656021543 |
| Street Address |
421 S WALNUT ST STE 200 |
| City | MUNCIE |
| State | IN |
| Zip Code | 47305-2484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467072397 | Jenni Lyn Conner | Counselor | 421 S Walnut St Ste 200, Muncie, IN 47305-2484 | 2020-04-21 |
| 1588120810 | April N Knasinski | Social Worker | 421 S Walnut St Ste 200, Muncie, IN 47305-2484 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962561654 | Behavioral Support Services, LLC. | Counselor | 405 S. Walnut St., Suite 309-11, Muncie, IN 47305 | 2006-12-08 |
| 1548376619 | Charles P Slavin | Dentist | 315 W Washington St, Muncie, IN 47305 | 2006-08-22 |
| 1437135522 | Delaware County Auditor | Ambulance | 401 E Jackson, Muncie, IN 47305 | 2005-12-20 |
| 1033505375 | Shereene Grant | Family Medicine | 333 S Madison St, Muncie, IN 47305 | 2015-04-14 |
| 1023626744 | Meridian Health Services Corp. | Clinic/Center | 801 N Walnut St # 1, Muncie, IN 47305-1458 | 2020-07-20 |
| 1598821266 | Larry Lee Mccallister | Family Medicine | 217 S Cherry St, Muncie, IN 47305-1506 | 2006-12-28 |
| 1124189899 | Open Door Community Services, Inc | Homemaker | 926 W Main St, Muncie, IN 47305-1539 | 2006-12-13 |
| 1104215508 | Kacyn Tucker-ramer | Behavioral Analyst | 920 W Main St, Muncie, IN 47305-1539 | 2015-01-22 |
| 1518040625 | Robin L Cooper | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2006-10-23 |
| 1184924524 | Jennessa R Johnston | Nurse Practitioner | 806 W Jackson St, Muncie, IN 47305-1551 | 2010-11-02 |
| Find all providers in zip 47305 | ||||
| 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 |
|---|---|---|---|---|
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1659896306 | Rebecca M Morris | Social Worker | 421 S Walnut St, Muncie, IN 47305-2484 | 2017-08-03 |
| 1396074449 | Alice M Saylor | Social Worker | 4622 N Broadway Ave, Muncie, IN 47303-1083 | 2009-12-21 |
| 1306988159 | Lee Anne Chambers | Social Worker | 4301n Walnut St, Muncie, IN 47303-1190 | 2007-02-12 |
| 1275603524 | Barbara Siegel Mcconnell | Social Worker | 3645 N Briarwood Ln Ste A, Muncie, IN 47304 | 2006-11-08 |
| 1205434107 | Hope Chest Tikkun Olam Center LLC | Social Worker | 1715 N Granville Ave Ste C, Muncie, IN 47303-2149 | 2020-10-13 |
| 1588120810 | April N Knasinski | Social Worker | 421 S Walnut St Ste 200, Muncie, IN 47305-2484 | 2019-02-12 |
| 1750881819 | Morgan Rochelle Lawson | Social Worker | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2018-02-15 |
| 1033627427 | Bethel L Mckenzie | Social Worker | 100 N Tillotson Ave, Muncie, IN 47304 | 2018-01-19 |
| 1932653250 | Audrey Hicks | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2016-08-04 |
| Find all providers in MUNCIE | ||||
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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.