MR. PRESTON MAYNARD (NPI# 1356786719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356786719 |
| Entity Type | Individual |
| Full Name | MR. PRESTON MAYNARD |
| Credential | LCSW |
| Practice Address |
114-152 Boston Post Road West Haven CT 06516 |
| Mailing Address |
114-152 Orange Avenue West Haven CT 06516 |
| Practice Telephone | 2034798041 |
| Mailing Telephone | 2034798041 |
| Mailing Fax Number | 2034798001 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
007489 | CT | Behavioral Health & Social Service Providers |
| Street Address |
114-152 BOSTON POST ROAD |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| 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 |
|---|---|---|---|---|
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1659868685 | Yarrow Therapy and Counseling Services | Social Worker | 2835 W 2050 S, West Haven, UT 84401-2121 | 2018-04-16 |
| 1730626045 | Monique Simone | Social Worker | 8 Island Ln, West Haven, CT 06516-6200 | 2017-01-24 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| 1083015044 | Shelby Bonini | Social Worker | 330 Savin Ave Apt 75, West Haven, CT 06516-5859 | 2014-09-09 |
| 1184031700 | Lauri Dougherty | Social Worker | 140 Captain Thomas Blvd, Suite 205, West Haven, CT 06516-5951 | 2014-07-15 |
| 1184052631 | Lara Landino | Social Worker | 61 Donald St, West Haven, CT 06516-2506 | 2013-10-21 |
| 1356773097 | Susan J. Kelly | Social Worker | 31 Ownly Ave, West Haven, CT 06516-1245 | 2013-08-05 |
| 1598015208 | Mercury Medical | Social Worker | 171 Grove Pl, West Haven, CT 06516-6438 | 2012-09-11 |
| 1912275447 | Karen Dodd | Social Worker | 2459 S Laurel St, West Haven, UT 84401-7081 | 2011-12-12 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on MR. PRESTON MAYNARD.
| 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.