PAUL PELLETREAU (NPI# 1396042206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396042206 |
| Entity Type | Individual |
| Full Name | PAUL PELLETREAU |
| Credential | LCSW |
| Practice Address |
4236 59th St W 4236 59th Street West Bradenton FL 34209-6664 |
| Mailing Address |
Po Box 4268 319 Tarpon Street P.o. Box 4268 Anna Maria FL 34216-4268 |
| Practice Telephone | 9417946617 |
| Practice Fax Number | 9417957536 |
| Mailing Telephone | 9417787402 |
| Enumeration Date | 2011-02-13 |
| Last Update Date | 2011-02-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 3086 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4236 59TH ST W 4236 59TH STREET WEST |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-6664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598706251 | Robert J Nolan | Counselor | 4236 59th St W, Bradenton, FL 34209-6664 | 2006-06-10 |
| 1780176727 | Barbara Jean Russell | Social Worker | 4236 59th St W, Bradenton, FL 34209-6664 | 2018-06-05 |
| 1174713739 | David Alan Stacho | Counselor | 4236 59th St W, Bradenton, FL 34209-6664 | 2007-07-30 |
| 1124245923 | Michael William Hamilton | Counselor | 4236 59th St W, Bradenton, FL 34209-6664 | 2007-04-20 |
| 1649328964 | Patricia Ann Peck | Counselor | 4236 59th St W, Bradenton, FL 34209-6664 | 2007-01-05 |
| 1962445478 | Richard Lowell James | Psychiatry & Neurology | 4236 59th St W, Bradenton, FL 34209-6664 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| 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 |
|---|---|---|---|---|
| 1811532773 | Kendra Morris Holt | Social Worker | 8730 52nd Dr E, Bradenton, FL 34211-3724 | 2019-11-14 |
| 1073170767 | Amy Hyland | Social Worker | 1207 3rd Ave E Apt A, Bradenton, FL 34208-1312 | 2019-05-29 |
| 1922579069 | Susan Wexler Crater Lcsw LLC | Social Worker | 9114 58th Dr E Ste 114, Bradenton, FL 34202-9074 | 2018-12-16 |
| 1548744600 | Sharon Chewning | Social Worker | 6511 Case Ave, Bradenton, FL 34207-5619 | 2018-09-24 |
| 1407337512 | Global Therapy and Wellness, Pllc | Social Worker | 6112 45th Street West, Bradenton, FL 34210 | 2018-08-27 |
| 1760960090 | David Jon Carlini | Social Worker | 3422 52nd St W, Bradenton, FL 34209-6322 | 2018-07-30 |
| 1922517556 | Patrick Radcliffe Yewell | Social Worker | 8847 Stone Harbour Loop, Bradenton, FL 34212-6324 | 2017-09-27 |
| 1285169755 | Jennifer Lauren Garafola | Social Worker | 1012 Estremadura Dr, Bradenton, FL 34209-3367 | 2017-04-21 |
| 1649719519 | Counseling and Consultative Services LLC | Social Worker | 3653 Cortez Blvd W, Suite 110b, Bradenton, FL 34210-3106 | 2017-02-13 |
| 1609326834 | Celeste Ann Martens | Social Worker | 6720 Washington Pl, Bradenton, FL 34207-5657 | 2016-10-12 |
| Find all providers in BRADENTON | ||||
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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.