JULIANNE MARIA ANDRYSIAK (NPI# 1841720224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841720224 |
| Entity Type | Individual |
| Full Name | JULIANNE MARIA ANDRYSIAK |
| Credential | LCSW |
| Practice Address |
265 E Chubbuck Rd Chubbuck ID 83202-5055 |
| Practice Telephone | (208) 237-1711 |
| Practice Fax Number | 2082379806 |
| Mailing Telephone | 2082371711 |
| Mailing Fax Number | 2082379806 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-36788 | ID | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-39513 | ID | Behavioral Health & Social Service Providers |
| Street Address |
265 E CHUBBUCK RD |
| City | CHUBBUCK |
| State | ID |
| Zip Code | 83202-5055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215204862 | Custom Rehab LLC | Physical Therapist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2011-11-28 |
| 1083238877 | Ashlynn Hayden Oborn | Social Worker | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2020-06-08 |
| 1679107296 | Center Counseling, LLC | Specialist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2020-02-24 |
| 1700425600 | Center Counseling, LLC | Peer Specialist | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-26 |
| 1679112502 | Center Counseling, LLC | Community/Behavioral Health | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-23 |
| 1376182204 | Center Counseling, LLC | Case Management | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-12-23 |
| 1831731215 | Jodie Lynn Barnes | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-10-17 |
| 1821650250 | William Clayton Riggs | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-07-06 |
| 1912562968 | Cynthia Louise Lange | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-05-06 |
| 1346708948 | Temoc Rafael Torres | Counselor | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2019-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689871089 | Amanda Jill Siems | Social Worker | 4815 Galena St, Chubbuck, ID 83202-3008 | 2007-06-29 |
| 1083238877 | Ashlynn Hayden Oborn | Social Worker | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2020-06-08 |
| 1114540804 | Kenric Glenn Gordon | Social Worker | 210 W Burnside Ave Ste A, Chubbuck, ID 83202-4916 | 2020-05-28 |
| 1265821243 | Mirthia Marie Carrio | Social Worker | 224 Evans Ln, Ste A, Chubbuck, ID 83202-1912 | 2015-01-14 |
| 1750718227 | Daniel M Knapp | Social Worker | 210 W Burnside Ave, Suite A, Chubbuck, ID 83202-4916 | 2013-09-30 |
| 1013344696 | Staralee Baird | Social Worker | 210 W Burnside Ave, Chubbuck, ID 83202-4916 | 2013-09-27 |
| 1558798108 | Mental Health Specialists | Social Worker | 210 W Burnside Ave, Chubbuck, ID 83202-4916 | 2013-09-27 |
| 1649520198 | Steve J Mckee | Social Worker | 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 | 2012-09-12 |
| 1255604401 | Paulette Toledo | Social Worker | 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202-2376 | 2012-02-20 |
| 1558675223 | Tyson Lund Christensen | Social Worker | 4650 Hawthorne Rd, Suite 3b, Chubbuck, ID 83202-2376 | 2010-08-04 |
| Find all providers in CHUBBUCK | ||||
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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.