MARY KATHRYN SLAGLE (NPI# 1962562660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962562660 |
| Entity Type | Individual |
| Full Name | MARY KATHRYN SLAGLE |
| Credential | LCSW |
| Practice Address |
#6 Sixth St Suite 205 Bristol TN 37620 |
| Practice Telephone | 4239682225 |
| Practice Fax Number | 4239682225 |
| Mailing Telephone | 4239682225 |
| Mailing Fax Number | 4239682225 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0904004885 | VA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LSW0000003958 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8930104 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407158488 | Mary Beth Slagle | Nurse Practitioner | 575 Industrial Dr, Louisa, VA 23093-4146 | 2010-11-24 |
| Street Address |
#6 SIXTH ST SUITE 205 |
| City | BRISTOL |
| State | TN |
| Zip Code | 37620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376180216 | Firstep, LLC | Psychiatry & Neurology | 3183 W. State St., Suite 1201, Bristol, TN 37620 | 2019-12-10 |
| 1578047726 | Amanda Harville Mcgrady | Psychologist | 105 Walnut Circle, Bristol, TN 37620 | 2018-09-23 |
| 1467932533 | Teresa Mooney | Nurse Practitioner | 324 Leslie Ct, Bristol, TN 37620 | 2018-08-17 |
| 1992285308 | Jeremy Aurbrey Blanzy | Nurse Practitioner | 1 Medical Park Boulevard, Suite 400e, Bristol, TN 37620 | 2018-08-15 |
| 1255841805 | Amanda L Pillion | Audiologist | 225 Midway Medical Park, Bristol, VA 37620 | 2017-10-10 |
| 1841717717 | Joel Blevins | Driver | 301 Webb Ct, Bristol, TN 37620 | 2017-08-23 |
| 1831579796 | Dr. Marie Crawford, Ph.d., Pllc | Psychologist | 739 Bluff City Highway, Suite 5, Bristol, TN 37620 | 2015-06-05 |
| 1508297169 | Cassandra Marie Conry | Chiropractor | 800 Hill St., Bristol, TN 37620 | 2013-12-09 |
| 1780025874 | Laura Leann Lawson-renfro | Nurse Practitioner | 260 Midway St, Bristol, TN 37620 | 2013-07-17 |
| 1760822365 | Ricky Bhimani | Internal Medicine | 208 Medical Park Boulevard, Bristol, TN 37620 | 2013-06-27 |
| Find all providers in zip 37620 | ||||
| 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 |
|---|---|---|---|---|
| 1053911677 | Linda Rich | Social Worker | 100 Alba Dr, Bristol, CT 06010-2601 | 2020-11-01 |
| 1881225258 | Ellen Repstad | Social Worker | 312 Rockydale Rd, Bristol, VT 05443-5247 | 2020-02-04 |
| 1417591181 | Marita G Daly | Social Worker | 56 Christine Rd, Bristol, CT 06010-3233 | 2019-11-05 |
| 1871143115 | Solid Ground Therapy Solutions LLC | Social Worker | 22 Pine St Ste 103a, Bristol, CT 06010-6949 | 2019-09-18 |
| 1356996169 | Karen Fleenor | Social Worker | 126 Martin Luther King Jr Blvd, Bristol, TN 37620-4078 | 2019-08-08 |
| 1194281121 | Ash Bailey Smith | Social Worker | 10659 Nw Sr 20, Bristol, FL 32321 | 2019-02-14 |
| 1457858193 | Center of Hope Treatment of Attachment & Trauma LLC | Social Worker | 6 6th St Ste 200, Bristol, TN 37620-2589 | 2018-04-10 |
| 1447750484 | Mary Beth Tavares | Social Worker | B6 Bristol Woods Dr, Bristol, RI 02809-2746 | 2018-02-16 |
| 1689048597 | Amy Bernier | Social Worker | 584 Lake Ave, Bristol, CT 06010-0400 | 2015-11-17 |
| 1538573423 | Winter Collins | Social Worker | 12958 Nw Collins Hill Ln, Bristol, FL 32321-3188 | 2014-06-18 |
| Find all providers in BRISTOL | ||||
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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.