MS. RICKIA IZETTA SPIVEY-KENNEDY


Address: 36 Avignon Drive, Newark, DE 19702
Phone: 3026042155

MS. RICKIA IZETTA SPIVEY-KENNEDY (NPI# 1831646454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831646454
Entity Type Individual
Full Name MS. RICKIA IZETTA SPIVEY-KENNEDY
Other Name RICKIA IZETTA SPIVEY
Credential M.ED
Practice Address 36 Avignon Drive
Newark
DE 19702
Practice Telephone 3026042155
Mailing Telephone 3026042155
Enumeration Date 2016-09-01
Last Update Date 2016-09-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 36 AVIGNON DRIVE
City NEWARK
State DE
Zip Code 19702

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1134585748 Thomas Wolters Pharmacist 248 Chaoman Road, Newark, DE 19702 2016-01-12
1851700686 Candice Roberts Nurse Practitioner 100 Biddle Ave Ste 101, Newark, DE 19702 2014-08-06
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1295160307 Kathleen D. Koontz Counselor 260 Chapman Road, 100 B, Newark, DE 19702 2013-09-08
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1326665480 Deandra Guzman Counselor 431-435 18th Avenue, Newark, NJ 07108 2020-07-06
1992328587 Steven Forrester Coleman Sr. Counselor 276 E Main St Ste 203, Newark, DE 19711-7356 2020-05-18
1851912620 Shaista Sowell Counselor 162 Clinton Pl, Newark, NJ 07112-1602 2020-05-02
1861024838 Judith Benedict Pantalino Counselor 950 Library Avenue, Suite 104, Newark, DE 19711 2020-02-07
1275173049 Ibn Abdush Musa Ahmad Counselor 182 Johnson Ave, Newark, NJ 07108-2709 2020-01-09
1629617303 Alyana Blythe Counselor 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 2019-12-30
1194364141 Healing Source LLC Counselor 35 Wenark Dr Apt 2, Newark, DE 19713-1445 2019-12-21
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Competitor

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City NEWARK
Zip Code 19702

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Dataset Information

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.

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