MARK REBELLO (NPI# 1265774483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265774483 |
| Entity Type | Individual |
| Full Name | MARK REBELLO |
| Credential | MSW-CADC |
| Practice Address |
107 Lincoln St Worcester MA 01605-2401 |
| Mailing Address |
25 Boston Ave Worcester MA 01604-1951 |
| Practice Telephone | 5084533013 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
107 LINCOLN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679550743 | Dorota K. Poluha | Internal Medicine | 107 Lincoln St, Adcare Hospital, Worcester, MA 01605-2401 | 2005-12-29 |
| 1679107031 | Shauna Moynihan Simpson | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2020-02-25 |
| 1780165498 | Stephen Zombil | Nurse Practitioner | 107 Lincoln St, Worcester, MA 01605-2401 | 2018-08-22 |
| 1356854525 | Lynne A Walker | Nurse Practitioner | 107 Lincoln St, Worcester, MA 01605-2401 | 2017-11-09 |
| 1831634849 | Joshua Master | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2016-12-29 |
| 1417339482 | Kimberly L Jones | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2015-06-25 |
| 1811321128 | David Joseph Baker | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2013-08-23 |
| 1578813721 | Maegan Elizabeth Holland | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2012-09-14 |
| 1497005185 | Dzhulyeta Azizian | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2012-09-11 |
| 1376839977 | Judith Ward | Counselor | 107 Lincoln St, Worcester, MA 01605-2401 | 2011-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184128522 | Noel Shawn Dennis | Counselor | 21 Catharine St, Worcester, MA 01605-2709 | 2018-03-21 |
| 1023512472 | Shane J Gadwah | Counselor | 15 Northampton St, Worcester, MA 01605-3415 | 2018-03-21 |
| 1760934095 | Amarsingh Integrative Counseling Services LLC | Counselor | 51 Union St Ste 314, Worcester, MA 01608-1134 | 2016-11-03 |
| 1598110306 | Tamara Cruz-vega | Counselor | 68 Perry Ave, Worcester, MA 01610-5108 | 2016-04-29 |
| 1316324379 | Pamela Daveau | Counselor | 107 Lincoln St., Adcare Hospital, Worcester, MA 01605 | 2015-04-29 |
| 1912245549 | Valerie Washington | Counselor | 75 Crescent St, Worcester, MA 01605-2406 | 2013-01-16 |
| 1417265588 | Miyan Y. Rodriguez | Counselor | 366 Wildwood Ave, Worcester, MA 01603-1656 | 2010-09-22 |
| 1447568274 | Jeanine L Paul | Counselor | 44 Front St Ste 490, Worcester, MA 01608-1742 | 2010-09-14 |
| 1265674931 | Debra Lynn Shilansky | Counselor | 411 Chandler St Ste 1, Worcester, MA 01602-3340 | 2009-03-27 |
| 1740431592 | Anne Marie Farmer | Counselor | 72 Jacques Ave, Worcester, MA 01610-2476 | 2008-10-09 |
| Find all providers in WORCESTER | ||||
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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.