MRS. MARY KATHLEEN WOODRUFF (NPI# 1285120618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285120618 |
| Entity Type | Individual |
| Full Name | MRS. MARY KATHLEEN WOODRUFF |
| Credential | LMHC |
| Practice Address |
163 Gibson Street Canandaigua NY 14424 |
| Mailing Address |
163 Gibson St Canandaigua NY 14424-1340 |
| Practice Telephone | 5853150580 |
| Mailing Telephone | 5853150580 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
004356 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1831525534 | Mary Elizabeth Woodruff | Physician Assistant | 1 Portsmouth Ave, Stratham, NH 03885-2585 | 2013-09-25 |
| 1114148343 | Mary Woodruff | Registered Nurse | 323 E Meadow Rd, Eden, NC 27288-3427 | 2007-05-02 |
| 1265659072 | Mary Ann Woodruff | Technician | 405 Fremont, Wathena, KS 66090 | 2007-04-20 |
| 1508977349 | Mary Jane Woodruff | Technician/Technologist | 1919 E Florida Ave, Hemet, CA 92544-4750 | 2006-08-31 |
| 1003435066 | Mary Margaret Woodruff | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2020-04-10 |
| 1740465129 | Mary Teresa Woodruff | Nurse Practitioner | 2366 Battlefield Pkwy, Fort Oglethorpe, GA 30742-4030 | 2008-01-04 |
| Street Address |
163 GIBSON STREET |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| 1629314935 | Tialin Marie Hines | Occupational Therapist | 5415 North Bloomfield Road, Canandaigua, NY 14424 | 2012-12-14 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724634 | Angelina Kathryn Zulick | Counselor | 2214 Risser Rd, Canandaigua, NY 14424-8017 | 2019-11-14 |
| 1902360944 | Tina Albright-menna | Counselor | 142 Mill St, Canandaigua, NY 14424-2037 | 2019-01-23 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1740729342 | Emilja Kelly | Counselor | 400 Fort Hill Ave Ste 17, Canandaigua, NY 14424-1159 | 2017-02-15 |
| 1609323591 | Carrie Robinson-elhassen | Counselor | 482 N Main St, Canandaigua, NY 14424-1049 | 2016-09-08 |
| 1356728950 | Colleen R. Klintworth | Counselor | 175 Telyea St, Canandaigua, NY 14424-1652 | 2015-05-04 |
| 1790901882 | Barbara E. Oliver | Counselor | 24 Island Ln, Canandaigua, NY 14424-2479 | 2007-04-17 |
| 1871500603 | Beverly Jean Miller | Counselor | 4610 Bluebird Rd, Canandaigua, NY 14424-9735 | 2006-08-02 |
| 1073562542 | Theresa Marie Beach | Counselor | 527 N Main St, Canandaigua, NY 14424-1021 | 2006-05-10 |
| Find all providers in CANANDAIGUA | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
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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.