MR. SAMUEL THOMAS KING JR. (NPI# 1881784247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881784247 |
| Entity Type | Individual |
| Full Name | MR. SAMUEL THOMAS KING JR. |
| Credential | MSW |
| Practice Address |
110 Maple Street Child Guidance Clinic Springfield MA 01105 |
| Mailing Address |
222 College St Springfield MA 01109-4403 |
| Practice Telephone | 4137327419 |
| Mailing Telephone | 4137880733 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
NA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982158952 | Samuel Adams King | Dentist | 8814 S Hangman Valley Rd, Spokane, WA 99224-8405 | 2016-08-08 |
| 1578637781 | Samuel L. King II | Dentist | 4844 Maccorkle Ave Sw, Charleston, WV 25309-1340 | 2006-11-20 |
| 1174550867 | Samuel Jerome King | Family Medicine | 908 Bypass Rd, Pikeville, KY 41501-2602 | 2006-06-27 |
| 1750874798 | Samuel Anthony Ricardo King | Social Worker | 123 Nw 13th St Ste 222, Boca Raton, FL 33432-1619 | 2018-06-13 |
| 1295137909 | Samuel King | Specialist/Technologist | 5314 N 7th St, Phoenix, AZ 85014-2805 | 2014-09-24 |
| 1235314998 | Samuel J. King II | Anesthesiology | 911 Bypass Road, Pikeville, KY 41501 | 2007-12-31 |
| 1346461969 | Samuel B. King | Dentist | 6460 Far Hills Avenue, Centerville, OH 45459 | 2007-05-01 |
| 1295800613 | Samuel Van King | Internal Medicine | 2664 St Matthews Road, Orangeburg, SC 29118-1344 | 2006-11-21 |
| Street Address |
110 MAPLE STREET CHILD GUIDANCE CLINIC |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215025739 | Jill Linda Laufer-rockowitz | Counselor | 110 Maple Street, Child Guidance Clinic, Springfield, MA 01105 | 2006-10-10 |
| 1104967298 | Kimberly Austin-morin | Case Manager/Care Coordinator | 110 Maple Street, Springfield, MA 01104 | 2007-02-09 |
| 1942382981 | Sarah Mixter | Counselor | 110 Maple Street, Child Guidance Clinic, Springfield, MA 01105 | 2006-10-19 |
| 1285715334 | Ronald William Mckenzie | Social Worker | 110 Maple Street, Child Guidance Clinic, Springfield, MA 01105 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| 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 |
|---|---|---|---|---|
| 1629676929 | Katrina Louise Routh | Social Worker | 1310 E Kingsley St Ste B, Springfield, MO 65804-7238 | 2020-10-09 |
| 1194337022 | Loretta E. Buckwalter | Social Worker | 4401 Ridgewood Rd W, Springfield, OH 45503-6131 | 2020-08-21 |
| 1710596572 | Nichol Speciale | Social Worker | 3700 Kerry Blvd, Springfield, IL 62712-5858 | 2020-07-28 |
| 1124636162 | Sarah Ann Duffy | Social Worker | 6823 Floyd Ave, Springfield, VA 22150-2455 | 2020-07-15 |
| 1033736707 | Bernetta A Andrewin | Social Worker | 4481 Ash Grove Dr Ste A-d, Springfield, IL 62711-6358 | 2020-06-29 |
| 1013530856 | Christina Margaret White | Social Worker | 224 Springcreek Dr, Springfield, IL 62702-3469 | 2020-05-27 |
| 1295357192 | Luminary Counseling and Solutions, LLC | Social Worker | 319 E Madison St Ste 2c, Springfield, IL 62701-3120 | 2020-05-13 |
| 1861014326 | Marvin Merriweather Jr. | Social Worker | 510 E Apple Orchard Rd Ste 103, Springfield, IL 62703-4081 | 2020-05-07 |
| 1477182061 | Sean Edward Snyder | Social Worker | 578 Sheffield Dr, Springfield, PA 19064-2822 | 2020-04-06 |
| 1801429246 | David Aichroth Jr. | Social Worker | David Aichroth, 11 Dundar Rd Suite 105, Springfield, NJ 07081-2210 | 2020-02-13 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
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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.