CARISSA D CAVALLARO (NPI# 1033673645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033673645 |
| Entity Type | Individual |
| Full Name | CARISSA D CAVALLARO |
| Credential | LMSW-CC |
| Practice Address |
236 Gannett Dr South Portland ME 04106-6913 |
| Mailing Address |
190 Riverside St Unit 6b Portland ME 04103-1073 |
| Practice Telephone | 2076616725 |
| Practice Fax Number | 2077610783 |
| Mailing Telephone | 2076612000 |
| Mailing Fax Number | 2076612033 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MC17684 | ME | Behavioral Health & Social Service Providers |
| Street Address |
236 GANNETT DR |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-6913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235397696 | Kelly Katherine Mcguire | Psychiatry & Neurology | 236 Gannett Dr, South Portland, ME 04106-6913 | 2008-06-01 |
| 1841817889 | Emily Strout | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2020-06-25 |
| 1295380251 | Tyler Jesse Doyon | Behavior Technician | 236 Gannett Dr, South Portland, ME 04106-6913 | 2019-08-07 |
| 1144793183 | Shannon O'brien | Behavioral Analyst | 236 Gannett Dr, South Portland, ME 04106-6913 | 2019-01-02 |
| 1639628282 | Anne Elizabeth Tobias | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-09-23 |
| 1588111942 | Jessica Marie-mcelravy Welch | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-09-02 |
| 1376096628 | Robin A. Barstow | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-08-03 |
| 1487010492 | Alicen Mary Johnson | Occupational Therapist | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-01-06 |
| 1619333614 | Alison J. Ginn | Behavioral Analyst | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-01-06 |
| 1154799302 | Deven J. Goyet | Occupational Therapist | 236 Gannett Dr, South Portland, ME 04106-6913 | 2015-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386983039 | Susan Jean Day | Social Worker | 86 Boothby Ave, South Portland, ME 04106-4629 | 2013-01-31 |
| 1740593805 | Elizabeth A Faulkner | Social Worker | 98 Cumberland Rd, South Portland, ME 04106-6317 | 2010-07-19 |
| 1447585799 | Margaret Chadbourne Parizo | Social Worker | 324 Gannett Drive, Ste. 300 Kidspeace National Centers of New England, Inc, South Portland, ME 04106 | 2009-10-05 |
| 1841817889 | Emily Strout | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2020-06-25 |
| 1114569001 | Julie Gaul | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2019-10-11 |
| 1861997884 | Hannah Williams | Social Worker | 50 Lydia Ln, South Portland, ME 04106-2156 | 2018-03-30 |
| 1639628282 | Anne Elizabeth Tobias | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-09-23 |
| 1588111942 | Jessica Marie-mcelravy Welch | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-09-02 |
| 1376096628 | Robin A. Barstow | Social Worker | 236 Gannett Dr, South Portland, ME 04106-6913 | 2016-08-03 |
| 1255704219 | Kimberly Capone-sprague | Social Worker | 49 Atlantic Pl, South Portland, ME 04106-2316 | 2015-11-12 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on CARISSA D CAVALLARO.
| 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.