BRANDON JAMES JURKOVICH (NPI# 1962903419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962903419 |
Entity Type | Individual |
Full Name | BRANDON JAMES JURKOVICH |
Credential | LISW |
Practice Address |
2685 Armstrong Rd Wooster OH 44691-9041 |
Practice Telephone | 3306214933 |
Enumeration Date | 2018-02-21 |
Last Update Date | 2020-02-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.2002057 | OH | Behavioral Health & Social Service Providers |
Street Address |
2685 ARMSTRONG RD |
City | WOOSTER |
State | OH |
Zip Code | 44691-9041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588694590 | Christian Children's Home of Ohio | Clinic/Center | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2006-07-04 |
1851998314 | Amber Mcclain | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-10-07 |
1598371825 | Brad Jarvis | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-22 |
1033724547 | Hallie Adcock | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-11 |
1760097380 | Levi Sprowls | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-10 |
1154936763 | Noah Fetzer | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-10 |
1851905517 | Ashley Elizabeth Martinus | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-09-01 |
1770195265 | Markus Smith | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-08-18 |
1619585163 | Sarah Elizabeth Butti | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-07-21 |
1881219202 | Brandi Keith | Licensed Practical Nurse | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2020-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
Find all providers in zip 44691 |
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 |
---|---|---|---|---|
1164736674 | Amy E. Smith | Social Worker | 2285 Benen Dr, Wooster, OH 44691 | 2010-07-27 |
1699941120 | Douglas R. Princehorn | Social Worker | 3011 Akron Rd, Wooster, OH 44691-7904 | 2008-05-05 |
1972722486 | Helen Faith Walkerly | Social Worker | 1476 Arthur Dr, Wooster, OH 44691-1534 | 2007-04-24 |
1497868004 | Gary James Engelhardt | Social Worker | 124 N Walnut St, Wooster, OH 44691-4808 | 2006-08-16 |
1700490646 | Jennifer Wehry | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2020-09-08 |
1871105585 | Tessa Hill | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2020-08-24 |
1932723525 | Erin Louise Blake | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2020-05-30 |
1306477419 | Mike Henry Ladousier | Social Worker | 2803 Akron Rd, Wooster, OH 44691-7904 | 2020-01-28 |
1225596158 | Lynette Wright | Social Worker | 2285 Benden Dr, Wooster, OH 44691-2568 | 2019-03-11 |
1447720313 | Angel Magel | Social Worker | 521 Beall Ave, Wooster, OH 44691-3589 | 2018-12-04 |
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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.