JASON HIBBARD (NPI# 1861053696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861053696 |
| Entity Type | Individual |
| Full Name | JASON HIBBARD |
| Credential | MSW, CSW |
| Practice Address |
8140 Dream St Ste D Florence KY 41042-7532 |
| Mailing Address |
111 Beech St Apt 7 Newport KY 41071-4502 |
| Practice Telephone | 8594210485 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
254105 | KY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235491846 | Jason Hibbard | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mayo Mail Code 195, Minneapolis, MN 55455-0341 | 2012-06-10 |
| Street Address |
8140 DREAM ST STE D |
| City | FLORENCE |
| State | KY |
| Zip Code | 41042-7532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013479872 | Julie Ann Impellitteri | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-04-02 |
| 1639714942 | Lindsey Paige Lewis | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-11-11 |
| 1174165195 | Sally Nissa Smith | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-10-10 |
| 1003476409 | Krista Wilkerson | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-06-18 |
| 1225694508 | Deanna E Hurd | Social Worker | 8140 Dream St Ste D, Florence, KY 41042-7532 | 2019-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596010 | Stacey Deann Cruse | Counselor | 71 Cavalier Blvd #303, Florance, KY 41042 | 2020-07-23 |
| 1760044705 | Loretta Macaluso | Speech-Language Pathologist | 1515 Cavalry Drive, Suite 202, Florence, KY 41042 | 2019-06-29 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1891200267 | Rachel Knuehl | Case Manager/Care Coordinator | 8140 Dream Street, Florence, KY 41042 | 2017-12-07 |
| 1427560697 | Marie Nicole Sartori | Nurse Practitioner | 7766 Ewing Blvd Ste 100, Florence, KY 41042 | 2017-10-27 |
| 1669903910 | Northern Kentucky Smiles | Dentist | 1481 Cavalry Drive, Suite 100, Florence, KY 41042 | 2017-03-27 |
| 1306394937 | Mary Austin | Nurse Practitioner | 7766 Ewing Boulevard, Florence, KY 41042 | 2016-09-12 |
| 1598211633 | Samantha Growe | Counselor | 7000 Houston Rd Ste 16, Florence, KY 41042 | 2016-08-29 |
| 1982079299 | Jessica Adelyn Goodridge | Doula | 2224 Forest Lawn Dr., Florence, KY 41042 | 2015-12-11 |
| 1083083414 | Victoria Maruca Havron | Psychologist | 6900 Houston Rd Ste 11, Florence, KY 41042 | 2015-09-16 |
| Find all providers in zip 41042 | ||||
| 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 |
|---|---|---|---|---|
| 1467059055 | Damon Quinn Smith | Social Worker | 126 E Tennessee St, Florence, AL 35630-5623 | 2020-10-06 |
| 1992316608 | Melissa Sundberg | Social Worker | 5751 Daisy Ln, Florence, MT 59833-6533 | 2020-08-14 |
| 1245879121 | Coastal Counseling, LLC | Social Worker | 1845 Highway 126 Ste A-11, Florence, OR 97439-9626 | 2019-12-25 |
| 1386281517 | Cordova Counseling and Consulting, LLC | Social Worker | 2023 S Irby St # Pmb342, Florence, SC 29505-3419 | 2019-12-06 |
| 1811548316 | Hope Behavioral Health, LLC | Social Worker | 8172 Mall Rd Ste 224, Florence, KY 41042-1400 | 2019-09-25 |
| 1417416983 | Debbie L Buffaloe | Social Worker | 203 Plum St, Florence, AL 35630-4878 | 2019-03-14 |
| 1346707320 | Angela Fellows | Social Worker | 5880 Highway 67 S, Florence, CO 81290-1000 | 2019-02-26 |
| 1720558257 | Mary Edith Lebeau | Social Worker | 35 Strawberry Hl, Florence, MA 01062-1338 | 2018-11-27 |
| 1295219392 | Scott Joseph Andrew | Social Worker | 100 Bridge Rd, Florence, MA 01062-4504 | 2018-09-24 |
| 1083198329 | Madlynn Haber | Social Worker | 114 Black Birch Trl, Florence, MA 01062-3610 | 2018-09-22 |
| Find all providers in FLORENCE | ||||
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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.