MS. CAROL SLADE (NPI# 1043393374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043393374 |
| Entity Type | Individual |
| Full Name | MS. CAROL SLADE |
| Credential | LICSW |
| Practice Address |
169 Elm St Waltham MA 02453-5356 |
| Practice Telephone | 7818948440 |
| Practice Fax Number | 7818941202 |
| Mailing Telephone | 7818948440 |
| Mailing Fax Number | 7818941202 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
101016 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | P10329 | 01 |
| NHP | 1004745 | 01 | |
| MA | 1303287 | 05 | |
| TUFTS | 703136 | 01 | |
| MA | BCBS | M18633 | 01 |
| BOSTON MED | NP01332 | 01 | |
| MA | MBHP | 1303287 | 01 |
| Street Address |
169 ELM ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-5356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083797302 | Jodi Lynn Tippett | Nurse Practitioner | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1770068314 | Brianne Aileen Lydon | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2018-09-29 |
| 1851565410 | Charlene A. Budrius I | Clinical Nurse Specialist | 169 Elm St, Waltham, MA 02453-5356 | 2008-04-15 |
| 1932380946 | Nadine Kraman | Counselor | 169 Elm St, Waltham, MA 02453-5356 | 2007-11-19 |
| 1114065794 | Maxine Sushelsky | Counselor | 169 Elm St, Waltham, MA 02453-5356 | 2007-02-03 |
| 1245313568 | Debra Lynn Spitz | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1144303462 | Krystal Rheinwald | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1205919552 | Arnold Zane Horowitz | Social Worker | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| 1932282266 | Miriam Claire Goodman | Psychiatry & Neurology | 169 Elm St, Waltham, MA 02453-5356 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| 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 |
|---|---|---|---|---|
| 1760082945 | Natalie Pierpont Waggaman | Social Worker | 34 Hamilton Rd, Waltham, MA 02453-1516 | 2020-10-28 |
| 1528527033 | Kelly Fanty | Social Worker | 355 Waverly Oaks Rd Ste 100, Waltham, MA 02452-8480 | 2019-03-14 |
| 1578035721 | Sarah Elizabeth Teeven | Social Worker | 17 Linden Park Dr, Waltham, MA 02452-6216 | 2018-12-28 |
| 1588132682 | Lee Ann Walker Lowe | Social Worker | 99 Bright St # 2, Waltham, MA 02453-6580 | 2018-11-06 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1699240606 | Ronda Marie Randazzo | Social Worker | 309 Waverly Oaks Rd, Waltham, MA 02452-8443 | 2018-10-05 |
| 1518442870 | Jody O Gastfriend | Social Worker | 77 4th Ave, Waltham, MA 02451-7559 | 2018-10-02 |
| 1356826614 | Jill Mcnamara | Social Worker | 77 4th Ave Ste 500, Waltham, MA 02451-7559 | 2018-10-02 |
| 1124503792 | Janet Louise Mason | Social Worker | 88 Fuller St, Waltham, MA 02453-5841 | 2018-09-30 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| Find all providers in WALTHAM | ||||
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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.