MARIO DWAYNE HAINESWORTH (NPI# 1306458245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306458245 |
| Entity Type | Individual |
| Full Name | MARIO DWAYNE HAINESWORTH |
| Practice Address |
1705 Woodland St Ne Warren OH 44483-5348 |
| Mailing Address |
754 Wildwood Dr Ne Warren OH 44483-4458 |
| Practice Telephone | 3307190660 |
| Mailing Telephone | 3307190660 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1705 WOODLAND ST NE |
| City | WARREN |
| State | OH |
| Zip Code | 44483-5348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
| 1962001982 | Lauren Elizabeth Berger | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-10-21 |
| 1235754052 | Adam Lonardo | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-06-09 |
| 1932739216 | Shavelle Marie Lakovich | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2020-01-25 |
| 1457917601 | Demari Brown | Social Worker | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2019-05-14 |
| 1699246116 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-12-10 |
| 1649747411 | Summer Angel Ellis | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-10-30 |
| 1568939239 | Crystal Evon Pankey | Social Worker | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-10-30 |
| 1083180921 | Linda Sue Lopez | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1720638141 | Jody Cohen | Counselor | 212 Melius Rd, Warren, CT 06754-1505 | 2019-09-17 |
| 1821554304 | Tamara Dallaire | Counselor | 23 Denver Ave, Warren, RI 02885-1839 | 2019-02-20 |
| 1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
| 1689172827 | Megan Elizabeth Cook | Counselor | 5 Mountain Blvd Ste 4, Warren, NJ 07059-2625 | 2018-01-23 |
| 1518405190 | Tadarrio Lowery | Counselor | 414 Trumbull Ave Se, Warren, OH 44483-6339 | 2017-02-03 |
| 1396110904 | R'taveous Merritt | Counselor | 27567 Parkview Blvd, Warren, MI 48092-2975 | 2015-12-08 |
| 1144602897 | Alana Maria Nicolazzo | Counselor | 29203 Roan Dr, Warren, MI 48093-3566 | 2015-06-18 |
| 1346526753 | Weston Martin | Counselor | 648 Main St, Warren, RI 02885-4387 | 2011-10-30 |
| 1295962355 | Kimberly Beck | Counselor | 2000 East Market Street, Warren, OH 44483 | 2009-06-16 |
| Find all providers in WARREN | ||||
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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.