STEPHANIE E GEORGOULIS (NPI# 1184767576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184767576 |
| Entity Type | Individual |
| Full Name | STEPHANIE E GEORGOULIS |
| Credential | MSW |
| Practice Address |
883 Paddock Ave Meriden CT 06450-7044 |
| Practice Telephone | 2036305334 |
| Mailing Telephone | 2036305334 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
883 PADDOCK AVE |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-7044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629093794 | Theresa A Blackmer | Social Worker | 883 Paddock Ave, Rushford Center Inc, Meriden, CT 06451-0000 | 2006-07-12 |
| 1235748740 | Alexandra Juchniewicz | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-07-30 |
| 1477193670 | Jillian Bridgette Lode | Student in an Organized Health Care Education/Training Program | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-15 |
| 1518507714 | Leslie Ann Betters | Counselor | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-15 |
| 1134769615 | Rodrigo Fernando Villegas | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-13 |
| 1023658564 | Jillian Russell | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-13 |
| 1194365833 | Amanda Brail | Student in an Organized Health Care Education/Training Program | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1962042630 | Michael E Cowan Jr. | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1386284040 | Amy Lynn Warzecha | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1285274944 | Rebecca Lauren Shea | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| 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 |
|---|---|---|---|---|
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1487945119 | Jessica Gaudioso | Social Worker | 29 Eagle Ct, Meriden, CT 06450-7063 | 2011-04-28 |
| 1477746832 | Sarah R Worcester | Social Worker | 90 Green Rd, Meriden, CT 06450-6612 | 2007-08-20 |
| 1235748740 | Alexandra Juchniewicz | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-07-30 |
| 1639790579 | Monique Richmond | Social Worker | 384 Pratt St, Meriden, CT 06450-8627 | 2020-05-01 |
| 1427698612 | Jasmin Dana Pieters | Social Worker | 883 Paddock Avenue, Meriden, CT 06450 | 2020-01-15 |
| 1134769615 | Rodrigo Fernando Villegas | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-13 |
| 1962042630 | Michael E Cowan Jr. | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1386284040 | Amy Lynn Warzecha | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1285274944 | Rebecca Lauren Shea | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| Find all providers in MERIDEN | ||||
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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.