MRS. LISA V TUCKER (NPI# 1245609205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245609205 |
| Entity Type | Individual |
| Full Name | MRS. LISA V TUCKER |
| Other Name | MS. LISA K VECCA |
| Practice Address |
2505 Main St Ste 231 Stratford CT 06615-5839 |
| Practice Telephone | 2033755782 |
| Practice Fax Number | 2033753048 |
| Mailing Telephone | 2033755782 |
| Mailing Fax Number | 2033753048 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679093462 | Lisa Moore Tucker | Registered Nurse | 5 Richland Medical Park Dr Ste 305, Columbia, SC 29203-6863 | 2017-06-22 |
| 1952600884 | Lisa Tucker | Home Health | 15003 Turtle Lake Ct, Lutz, FL 33559-7734 | 2011-03-17 |
| 1295344554 | Lisa Tucker | Case Manager/Care Coordinator | 589 Midway Rd, Alum Creek, WV 25003-9577 | 2020-07-23 |
| 1063076214 | Lisa Tucker | Counselor | 791 N Pepper Ave, Colton, CA 92324-1800 | 2019-04-23 |
| 1992166490 | Lisa Tucker | Nurse Practitioner | 2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600 | 2016-03-10 |
| 1336556620 | Lisa Tucker | Dietitian, Registered | 2441 S Highway 27, Somerset, KY 42501-2935 | 2014-07-18 |
| 1467522490 | Lisa A Tucker | Nurse Practitioner | 900 Pacific Ave Ste 500, Everett, WA 98201-4189 | 2006-11-08 |
| Street Address |
2505 MAIN ST STE 231 |
| City | STRATFORD |
| State | CT |
| Zip Code | 06615-5839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751704 | Charles James Mead | Counselor | 2505 Main St Ste 231, Stratford, CT 06615-5839 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154713832 | Lauren Pessin | Behavioral Analyst | 55 Sutton Ave, Stratford, CT 06615 | 2015-03-04 |
| 1801223748 | Steven Flathers | Occupational Therapist | 27 Eunice Parkway, Stratford, CT 06615 | 2013-10-10 |
| 1700219243 | Stratford Orthodontics | Dentist | 2499 Main Street, Stratford, CT 06615 | 2013-08-20 |
| 1417380981 | Debra L Tomaselli | Marriage & Family Therapist | 2296 Main Street, 2nd Floor, Stratford, CT 06615 | 2013-08-19 |
| 1003199217 | Katherine Bajda | Nurse Practitioner | 837 Prospect Drive, Stratford, CT 06615 | 2011-09-23 |
| 1336326495 | Dammy Bamisile | Social Worker | 100 Center Street, Shelton, CT 06615 | 2008-01-30 |
| 1487868550 | Mark Rabin | Medical Genetics, Ph.D. Medical Genetics | Dianon Systems, 200 Watson Boulevard, Stratford, CT 06615 | 2007-05-09 |
| 1205958675 | Sophia Leonida M.d., PC | Clinic/Center | 2505 Main St., Stratford, CT 06615 | 2007-04-04 |
| 1558488213 | Fatima Eslami-varzaneh | Pathology | 200 Watson Boulvard, Stratford, CT 06615 | 2007-03-26 |
| 1881729804 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 555 Lordship Boulevard, Stratford, CT 06615 | 2007-02-22 |
| Find all providers in zip 06615 | ||||
| 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 |
|---|---|---|---|---|
| 1245716109 | Arden Church | Social Worker | 2505 Main Street, Stationhouse Square, Suite 231, Stratford, CT 06615-5839 | 2018-07-13 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1043568389 | Denise Kenner-bennett | Social Worker | 101 Cornell Ave, Stratford, NJ 08084-1103 | 2012-08-16 |
| 1285820811 | Lisa Marie Bodenheimer | Social Worker | 42 E Laurel Road, Udp 1800, Stratford, NJ 08084-1354 | 2007-09-18 |
| 1205338357 | Adrienne Free-mulaire | Social Worker | 3300 Main St, Stratford, CT 06614-4819 | 2018-03-05 |
| 1134353709 | Heather Marie Grew | Social Worker | 80 Ferry Blvd, Suite 204, Stratford, CT 06615-6079 | 2009-05-11 |
| 1760602742 | Annette Backs | Social Worker | 40 E Laurel Rd, Stratford, NJ 08084-1350 | 2007-05-01 |
| 1033248349 | Drusilla Demarest Cherry | Social Worker | 3333 Main St, Stratford, CT 06614-4861 | 2007-03-04 |
| 1104830892 | Jyll Robin Herzog Souto | Social Worker | 305 Boston Ave, Stratford, CT 06614-5246 | 2006-07-28 |
| 1629097894 | Carol Valetta Fenton | Social Worker | 2505 Main St, Stratford, CT 06615-5839 | 2006-07-19 |
| Find all providers in STRATFORD | ||||
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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.