KIM CLARISSA DALLAS (NPI# 1851383889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851383889 |
| Entity Type | Individual |
| Full Name | KIM CLARISSA DALLAS |
| Other Name | KIM CLARISSA WEEKS |
| Credential | LMSW |
| Practice Address |
239 Golden Hill Ln Kingston NY 12401-6441 |
| Practice Telephone | 8453404135 |
| Practice Fax Number | 8453404094 |
| Mailing Telephone | 8453404125 |
| Mailing Fax Number | 8453404094 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2009-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 073220 | NY | Behavioral Health & Social Service Providers |
| Street Address |
239 GOLDEN HILL LN |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-6441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003811449 | County of Ulster Ny | Clinic/Center | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2005-06-14 |
| 1245840073 | Teasia Williams | Nurse Practitioner | 239 Golden Hill Ln, Kingston, NY 12401-6452 | 2020-08-06 |
| 1902420375 | Devon Richard Brady | Counselor | 239 Golden Hill Ln, Kingston, NY 12401-6452 | 2020-06-02 |
| 1437771839 | Jessica Jones | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6452 | 2020-05-08 |
| 1013567692 | Chelesa Turnbull | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2019-09-16 |
| 1730733940 | Allison Philip Burch | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2019-07-25 |
| 1245894401 | Laurie A Conlon | Counselor | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2019-04-23 |
| 1922586015 | Maria Benaissa | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2018-08-01 |
| 1619329786 | Angela Canepa | Social Worker | 239 Golden Hill Ln, Kingston, NY 12401-6441 | 2016-07-12 |
| 1598123234 | Stephanie Olear | Counselor | 239 Golden Hill Ln, Suite 100, Kingston, NY 12401-6441 | 2016-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| 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 |
|---|---|---|---|---|
| 1679185565 | Gina Weidow | Social Worker | 480 Pierce St Ste 316, Kingston, PA 18704-5512 | 2020-08-20 |
| 1053922245 | Olivia R Mackrell | Social Worker | 1023 Decker St, Kingston, NY 12401-1405 | 2020-08-12 |
| 1790267979 | Beth A Litchfield | Social Worker | 4 Wharf Ln, Kingston, MA 02364-1740 | 2018-09-04 |
| 1669982989 | James Allison, Lcsw | Social Worker | 721 Broadway Ste 204, Kingston, NY 12401-3449 | 2017-10-02 |
| 1538503297 | Joann E Gainard | Social Worker | 106 Sharpe St, Kingston, PA 18704-2813 | 2013-04-24 |
| 1841536968 | Carolyn Schapker | Social Worker | 3 Family Practice Dr, Kingston, NY 12401-6449 | 2012-12-18 |
| 1063768752 | Hilary Houldsworth | Social Worker | 139 Cornell Street, Pecora Clinic, Kingston, NY 12401 | 2012-07-31 |
| 1386911840 | Tabitha L Henson | Social Worker | 144 Pine St Ste 140, Kingston, NY 12401 | 2011-11-28 |
| 1386828952 | Kimberly Ruth Addesso | Social Worker | 131 Rymrock Rd Unit 49, Kingston, NY 12401-7458 | 2007-12-19 |
| 1205019379 | Jeanne Deangelis Jennings | Social Worker | Ugarc Ulster Rehab Clinic, 139 Cornell St, Kingston, NY 12401 | 2007-12-12 |
| Find all providers in KINGSTON | ||||
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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.