MS. KAREN ALANE WACKETT (NPI# 1093260770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093260770 |
| Entity Type | Individual |
| Full Name | MS. KAREN ALANE WACKETT |
| Other Name | MS. KAREN LASTNER |
| Credential | LCSW-C |
| Practice Address |
1813 Sweetbay Dr Salisbury MD 21804-1663 |
| Mailing Address |
Po Box 1978 Salisbury MD 21802-1978 |
| Practice Telephone | 4102195483 |
| Practice Fax Number | 4102195486 |
| Mailing Telephone | 4107491015 |
| Mailing Fax Number | 4107490654 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
22170 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 119591300 | 05 |
| Street Address |
1813 SWEETBAY DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-1663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407803034 | Children's Choice | Respite Care | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2006-05-28 |
| 1922618677 | Carrie Anne Kellams | Nurse Practitioner | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2020-08-07 |
| 1962033167 | Karen Ashley Walls | Social Worker | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2020-01-28 |
| 1437796901 | Justina Kenna Ugorji | Nurse Practitioner | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-12-04 |
| 1891337101 | Gregory Lee Brown Jr. | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-10-09 |
| 1740837491 | Kiara Helen Marie Wharton | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-08-19 |
| 1194379784 | Jessica Susan Hibbs | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-07-31 |
| 1114570421 | Roberto Ezequiel Donati | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-07-17 |
| 1457825671 | Kristin Love Hearne | Social Worker | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-01-22 |
| 1265905863 | Douglas King | Counselor | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| 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 |
|---|---|---|---|---|
| 1619585726 | Kala Farrare | Social Worker | 28205 Rockawalkin Ridge Rd, Salisbury, MD 21801-2107 | 2020-07-15 |
| 1972134328 | Lisa C Barnes | Social Worker | 5910 Tappan Ln, Salisbury, MD 21801-1604 | 2020-02-03 |
| 1881225167 | Innovative State of Mind LLC | Social Worker | 116 Baptist St, Salisbury, MD 21801-4911 | 2020-01-27 |
| 1518598853 | Harmony Counseling Services LLC | Social Worker | 1201 Pemberton Dr Ste 1d, Salisbury, MD 21801-2401 | 2020-01-27 |
| 1952947103 | Greater Glory Community Center | Social Worker | 1015 Old West Innes St, Salisbury, NC 28144-3171 | 2019-11-22 |
| 1528625266 | Paulina Sandra Rivera | Social Worker | 165 Mahaley Ave, Salisbury, NC 28144-2448 | 2019-05-28 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1689159931 | Donna Elaine Johnson | Social Worker | 9 2nd St, Salisbury, MA 01952-2524 | 2018-10-02 |
| 1962980524 | Jill J Tapper | Social Worker | 135 Beach Rd Unit A1, Salisbury, MA 01952-2253 | 2018-08-05 |
| 1164927448 | Edwana Cottman | Social Worker | 100 E Carroll St # 101102, Salisbury, MD 21801-5422 | 2018-03-28 |
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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.