SHERRY K QUACKENBUSH (NPI# 1922615269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922615269 |
| Entity Type | Individual |
| Full Name | SHERRY K QUACKENBUSH |
| Credential | LCSW |
| Practice Address |
530 E 34th St Joplin MO 64804-3926 |
| Mailing Address |
Po Box 2526 Joplin MO 64803-2526 |
| Practice Telephone | 4173477630 |
| Mailing Telephone | 4173477579 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
002877 | MO | Behavioral Health & Social Service Providers |
| Street Address |
530 E 34TH ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891807285 | Jeffrey Shane Bradley | Psychiatry & Neurology | 530 E 34th St, Joplin, MO 64804-3926 | 2006-08-31 |
| 1902412174 | Kristen J Tanner | Social Worker | 530 E 34th St, Joplin, MO 64804-3926 | 2020-09-22 |
| 1093376832 | Kimberly Anne Hammonds | Nurse Practitioner | 530 E 34th St, Joplin, MO 64804-3926 | 2019-06-24 |
| 1255847463 | Justin Kyle Boudreaux | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2017-12-26 |
| 1649623562 | Heather Kay Wadeson | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2016-07-15 |
| 1073986576 | Sooin Lee | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-11-05 |
| 1104299098 | Megan Robertson | Marriage & Family Therapist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-11-02 |
| 1497144992 | Eve Lueker | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-01-21 |
| 1255739447 | Marcie Burk | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2014-12-20 |
| 1396080974 | James Townsend | Counselor | 530 E 34th St, Joplin, MO 64804-3926 | 2012-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| 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 |
|---|---|---|---|---|
| 1023620689 | Joni Lynn Baker | Social Worker | 522 W 32nd St Ste 2, Joplin, MO 64804-2533 | 2020-08-17 |
| 1306477625 | Crystal Denise Spencer | Social Worker | 2727 Deer Dr, Joplin, MO 64804-6008 | 2020-01-27 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1518451996 | Jennifer Lynn Hill | Social Worker | 4612 S Duquesne Rd, Joplin, MO 64804-8255 | 2018-06-19 |
| 1700170891 | Charity Freeman | Social Worker | 3230 Wisconsin Ave, Joplin, MO 64804-4029 | 2011-06-06 |
| 1881990919 | Heather E Walker-shepherd | Social Worker | 2910 S Oliver Ave, Joplin, MO 64804-1459 | 2011-02-08 |
| 1245534734 | Teresa Lynn Mcneil | Social Worker | 2004 S Joplin Ave, Joplin, MO 64804-2032 | 2010-12-27 |
| 1972818847 | Jeremey Wolfe | Social Worker | 6304 Castle Heights Rd, Joplin, MO 64804-6001 | 2010-08-16 |
| 1891954301 | Melissa L Dickinson I | Social Worker | 2934 Mcclelland Blvd, Joplin, MO 64804-1632 | 2008-06-09 |
| 1720259229 | Stephanie Coffey-miller | Social Worker | 3010 Mcclelland Blvd, Joplin, MO 64804-1637 | 2008-03-12 |
| Find all providers in JOPLIN | ||||
Please comment or provide details below to improve the information on SHERRY K QUACKENBUSH.
| 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.