DESTINATION GREATNESS, LLC (NPI# 1851722532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851722532 |
| Entity Type | Organization |
| Organization Name | DESTINATION GREATNESS, LLC |
| Practice Address |
1142 Flat St E Allendale SC 29810-5818 |
| Mailing Address |
Po Box 13273 Durham NC 27709-3273 |
| Practice Telephone | 9197945284 |
| Mailing Telephone | 9197945284 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2013-12-30 |
| Authorized Official Name | MS. SHANNA A JEFFERSON (OWNER) |
| Authorized Official Telephone | 9197945284 |
| Authorized Official Credential | MSW, CFSW, LCSW |
| Is Organization Subpart | Y |
| Parent Organization Name | DESTINATION GREATNESS, PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
1142 FLAT ST E |
| City | ALLENDALE |
| State | SC |
| Zip Code | 29810-5818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498785 | Cory Anthony Russell | Counselor | 438 Barnwell Rd, Allendale, SC 29810 | 2014-04-30 |
| 1457444218 | James Freeman | Counselor | 603 Barnwell Road, Allendale, SC 29810 | 2006-10-02 |
| 1306949656 | Christy Jinks | Counselor | 603 Barnwell Rpad, Allendale, SC 29810 | 2006-09-05 |
| 1083693832 | Allendale County Rescue Squad Inc | Ambulance | 606 Hickory St, Allendale, SC 29810 | 2006-01-11 |
| 1407906878 | Allendale County Hospital Board | Clinic/Center | 623 Memorial Ave N, Allendale, SC 29810 | 2007-01-10 |
| 1295039717 | Inspiring Growth Counseling Services | Community/Behavioral Health | 279-b Hickory Street, Allendale, SC 29810-1080 | 2010-12-23 |
| 1700980240 | Yokina K. Williams | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2006-09-12 |
| 1851840862 | India Curry | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2016-10-03 |
| 1851572796 | Natashia L Felder | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-11-20 |
| 1902951510 | Katherine Elizabeth Tharin | Counselor | 603 Barnwell Hwy, Allendale, SC 29810-1905 | 2007-01-24 |
| Find all providers in zip 29810 | ||||
| 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 |
|---|---|---|---|---|
| 1295366938 | Christen Clark | Social Worker | 11304 Edgewater Dr Ste D, Allendale, MI 49401-8499 | 2020-01-31 |
| 1154968980 | Fluarry Dwayne Jackson Jr. | Social Worker | 5068 W Campus Dr Apt G25, Allendale, MI 49401-8850 | 2019-11-27 |
| 1669962726 | Kara Nicole Kushnir | Social Worker | 1 De Mercurio Dr Ste 2a, Allendale, NJ 07401-1737 | 2018-05-15 |
| 1972041002 | Amanda Bonan | Social Worker | 9 Powell Rd, Allendale, NJ 07401-2010 | 2017-02-09 |
| 1376847582 | Michael Robert Goldsmith | Social Worker | 10854 North Ct, Allendale, MI 49401-9773 | 2011-01-03 |
| 1558533729 | Janet Anne Bertelli | Social Worker | 74 E Allendale Ave, Allendale, NJ 07401-2017 | 2008-03-28 |
| 1649451634 | Loretta Sue Weinberg | Social Worker | 111 Trotters Ln, Allendale, NJ 07401-2032 | 2007-11-18 |
| 1518169838 | Patricia L Saul | Social Worker | 115 W Allendale Ave, Allendale, NJ 07401-1734 | 2007-05-31 |
| 1710197652 | Susan L Esserman | Social Worker | 2 Carteret Rd, Allendale, NJ 07401-1823 | 2007-05-22 |
| 1851431530 | Lore Denver Basil | Social Worker | 33 W Orchard St, Allendale, NJ 07401 | 2007-02-08 |
| Find all providers in ALLENDALE | ||||
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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.