KALISHA CORITA MATTERSON (NPI# 1417287996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417287996 |
| Entity Type | Individual |
| Full Name | KALISHA CORITA MATTERSON |
| Credential | MSW |
| Practice Address |
140 Nw 59th St Miami FL 33127-1218 |
| Mailing Address |
11031 Ne 6th Ave Miami FL 33161-7182 |
| Practice Telephone | 3057598888 |
| Practice Fax Number | 3057575989 |
| Mailing Telephone | 3053986100 |
| Mailing Fax Number | 3057574465 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
ISW5117 | FL | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW5117 | FL | Behavioral Health & Social Service Providers |
| Street Address |
140 NW 59TH ST |
| City | MIAMI |
| State | FL |
| Zip Code | 33127-1218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871509943 | Harry W. Graff | Psychiatry & Neurology | 140 Nw 59th St, Miami, FL 33127-1218 | 2006-07-31 |
| 1639571763 | Tasha Berroa | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2014-09-19 |
| 1922415504 | Julian Enrique Vives | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2014-07-16 |
| 1053728790 | Banyan Community Health Center | Community/Behavioral Health | 140 Nw 59th St, Miami, FL 33127-1218 | 2014-07-15 |
| 1245665926 | Nelly J Gomez | Licensed Practical Nurse | 140 Nw 59th St, Miami, FL 33127-1218 | 2013-09-12 |
| 1164869871 | Kizzy Ann M Rose | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2013-06-04 |
| 1952640351 | Lonnie Lopez | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2013-02-05 |
| 1538406434 | Nelson J Gonzalez | Social Worker | 140 Nw 59th St, Miami, FL 33127-1218 | 2013-01-11 |
| 1821351461 | Gemma Elizabeth Philage | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2012-06-19 |
| 1477819019 | Jessica Aubuchon | Counselor | 140 Nw 59th St, Miami, FL 33127-1218 | 2012-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410950 | Johana Correa | Behavior Technician | 3360 Nw 11th Pl Apt 103, Miami, FL 33127 | 2019-10-30 |
| 1639728827 | Sanctuary Therapeutic Counseling Services | Social Worker | 3246 N. Miami Avenue Suite A, #370585, Miami, FL 33127 | 2019-09-10 |
| 1811545825 | William M. Colson IIi | Technician | 5601 Nw 2nd Ave., 702, Miami, FL 33127 | 2019-09-03 |
| 1932613064 | Jose Luis Erice Lafont | Behavioral Analyst | 5715 Nw 2nd Ave Apt 806, Miami, FL 33127 | 2017-11-28 |
| 1134631658 | Ania Diaz | Behavior Technician | 2525 Nw 10th Ave Apt 206, Miami, FL 33127 | 2017-10-25 |
| 1891212056 | Amonise Creed | Massage Therapist | 94 Nw 50 Street, Miami, FL 33127 | 2017-08-28 |
| 1912423237 | Rakevia Lakeisha Mcknight | Lactation Consultant, Non-RN | 740 Nw 31st Street, Miami, FL 33127 | 2017-08-17 |
| 1902252380 | Las Palmas Alf, Corp | Assisted Living Facility | 1170 N.w. 26 St., Miami, FL 33127 | 2016-05-04 |
| 1861861668 | Borinquen Health Care Center Inc | Clinic/Center | 6161 Nw 5 Court, Miami Edison Senior High, Miami, FL 33127 | 2015-09-22 |
| 1225407026 | Borinquen Health Care Center Inc | Clinic/Center | 6101 Nw 2 Avenue, Itech @ Thomas A. Edison High, Miami, FL 33127 | 2015-09-22 |
| Find all providers in zip 33127 | ||||
| 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 |
|---|---|---|---|---|
| 1386243962 | Invictus Behavioral Health, LLC | Social Worker | 9425 Sw 72nd St Ste 267, Miami, FL 33173-5457 | 2020-10-23 |
| 1245838465 | Sylvia Marie Grate | Social Worker | 8135 Sw 87th Ct, Miami, FL 33173-4145 | 2020-10-09 |
| 1497352181 | Williesha Livingston | Social Worker | 2301 Nw 89th St, Miami, FL 33147-3841 | 2020-10-06 |
| 1326652546 | Eva Schildhause | Social Worker | 9250 Sw 136th Street Cir, Miami, FL 33176-5824 | 2020-09-04 |
| 1780298372 | Kamilah Cross | Social Worker | 1425 Nw 193rd Ter, Miami, FL 33169-3447 | 2020-09-01 |
| 1114530649 | Lynnette Marie Montanez | Social Worker | 9701 Fontainebleau Blvd Apt 108, Miami, FL 33172-4078 | 2020-08-25 |
| 1427667963 | Cinthya Cabrera | Social Worker | 2929 Sw 3rd Ave Ste 510, Miami, FL 33129-2770 | 2020-07-30 |
| 1194342683 | Hermona Katrina Wilson | Social Worker | 6850 Coral Way Ste 310, Miami, FL 33155-1758 | 2020-06-30 |
| 1336765460 | Michael Gabriel Perez | Social Worker | 10250 Sw 56th St Ste C, Miami, FL 33165-7069 | 2020-06-24 |
| 1659994135 | Elena Plasencia LLC | Social Worker | 11440 N Kendall Dr Ste 106, Miami, FL 33176-1024 | 2020-05-19 |
| Find all providers in MIAMI | ||||
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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.