TRUDY TAMARA PEARSON (NPI# 1235621236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235621236 |
| Entity Type | Individual |
| Full Name | TRUDY TAMARA PEARSON |
| Practice Address |
360 Bloomfield Ave Windsor CT 06095-2700 |
| Mailing Address |
114 Indian Hill Rd Windsor CT 06095-1453 |
| Practice Telephone | 8605395995 |
| Mailing Telephone | 8605395995 |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009351 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689984742 | Trudy Pearson | Speech-Language Pathologist | 101 Bulldog Dr, Plumerville, AR 72127-8803 | 2010-10-07 |
| Street Address |
360 BLOOMFIELD AVE |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255342556 | Sean Timothy Brennan | Physician Assistant | 360 Bloomfield Ave, Suite 209, Windsor, CT 06095-2700 | 2006-08-11 |
| 1942818968 | Victoria Dionne | Behavior Technician | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2020-07-15 |
| 1346875689 | Indigo Counseling Services LLC | Counselor | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2020-03-06 |
| 1245896687 | Heather Morgan Haas | Behavioral Analyst | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2019-05-10 |
| 1306300397 | Mojdeh Heidari | Family Medicine | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2019-01-24 |
| 1801332812 | Clark Counseling Services LLC | Counselor | 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 | 2017-01-13 |
| 1922470772 | Purple Hearts Home Care LLC | Exclusive Provider Organization | 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 | 2015-10-20 |
| 1366821886 | Love and Caring Home Care Agency LLC | Home Health | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2015-05-29 |
| 1588055818 | Velanda Samuel | Social Worker | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2015-02-09 |
| 1871982967 | Breakthrough Clinical Services | Social Worker | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| 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 |
|---|---|---|---|---|
| 1013538149 | Amy Joy Parent | Social Worker | 13 North Cir, Windsor, CT 06095-2420 | 2020-04-29 |
| 1518443027 | Professional Institute for Clinical Service, LLC | Social Worker | 360 Bloomfield Ave Ste 306, Windsor, CT 06095-2700 | 2018-07-17 |
| 1417409731 | Crystal Noel Meredith | Social Worker | 385 Antora Ct, Windsor, CO 80550-3239 | 2016-11-03 |
| 1063963072 | Kathryn Jacobs | Social Worker | 111 Cricket Ct, Windsor, CA 95492-7950 | 2016-10-14 |
| 1063873875 | Cassandra Williams | Social Worker | 2189 Grain Bin Ct, Windsor, CO 80550-3427 | 2016-03-08 |
| 1134588403 | Anne Marie Kelly | Social Worker | 82 State St, Windsor, VT 05089-1276 | 2016-02-16 |
| 1588050272 | Lauren Elizabeth Maloney | Social Worker | 1 Lang Rd, Windsor, CT 06095-1514 | 2015-04-09 |
| 1245649128 | Terraine Jamison | Social Worker | 581 Bloomfield Ave, Windsor, CT 06095-6095 | 2014-08-05 |
| 1154752673 | Tabitha A Scott | Social Worker | 9291 Old Redwood Hwy # 500, Windsor, CA 95492-8089 | 2013-12-09 |
| 1396187928 | Donna Vibes | Social Worker | 34 Lighthouse Hill Rd, Windsor, CT 06095-1210 | 2013-07-24 |
| Find all providers in WINDSOR | ||||
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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.