KIM A DEMATTEO (NPI# 1467466979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467466979 |
| Entity Type | Individual |
| Full Name | KIM A DEMATTEO |
| Credential | LCSW |
| Practice Address |
28 Main St Essex CT 06426 |
| Practice Telephone | 8607671517 |
| Practice Fax Number | 8607677703 |
| Mailing Telephone | 8607671517 |
| Mailing Fax Number | 8607677703 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
002242 | CT | Behavioral Health & Social Service Providers |
| Street Address |
28 MAIN ST |
| City | ESSEX |
| State | CT |
| Zip Code | 06426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245573013 | Barrios and Silberstein PC | Psychologist | 28 Main St, Essex, CT 06426-1100 | 2013-03-31 |
| 1982942678 | Joanna Crowell | Counselor | 28 Main St, Essex, CT 06426-1100 | 2013-01-30 |
| 1265615884 | Kamilla Gardner | Marriage & Family Therapist | 28 Main St, Essex, CT 06426-1100 | 2007-12-06 |
| 1710169339 | Alicia Demartin | Acupuncturist | 28 Main St, Essex, CT 06426 | 2007-12-05 |
| 1902000672 | The Center for Psychotherapy, Inc. | Social Worker | 28 Main St, Essex, CT 06426-1100 | 2007-06-14 |
| 1861561755 | Elizabeth Hale | Social Worker | 28 Main St, Essex, CT 06426-1100 | 2006-11-07 |
| 1508945965 | Lisa R. Silberstein | Psychologist | 28 Main St, Essex, CT 06426-1100 | 2006-11-04 |
| 1609950781 | Michael Vincent Barrios | Psychologist | 28 Main St, Essex, CT 06426-1100 | 2006-10-25 |
| 1861595373 | Mary Ellen Ruggiero | Social Worker | 28 Main St, Essex, CT 06426 | 2006-09-07 |
| 1558375063 | Stuart Blakely Fisher | Psychologist | 28 Main St, The Center for Psychotherapy Inc, Essex, CT 06426-1100 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| 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 |
|---|---|---|---|---|
| 1629579487 | Deirdre Gardner | Social Worker | 768 Seawall Rd, Essex, MD 21221-3939 | 2018-02-26 |
| 1720595242 | Tidemark Intervention Services | Social Worker | 13 Ryan Frost Way, Essex, MD 21221-1646 | 2018-01-05 |
| 1023496106 | Joan Marie Horwat | Social Worker | 28 Cove Hill Rd, Essex, CT 06426-1439 | 2015-05-11 |
| 1568893485 | Eric Kebela | Social Worker | 928 Ashbridge Dr Apt L, Essex, MD 21221-4328 | 2013-12-02 |
| 1922433564 | Joellen Marie Falk | Social Worker | 29 Choate St, Essex, MA 01929-1057 | 2013-09-12 |
| 1740591320 | Michelle A Kenefick | Social Worker | 158 Westbrook Rd, Suite 7, Essex, CT 06426-1553 | 2010-06-29 |
| 1346424710 | Elizabeth Marshall | Social Worker | 1 Wildwood Medical Ctr, Essex, CT 06426-1155 | 2007-12-20 |
| 1225221500 | Karan D Killoran | Social Worker | 24 Stanford Hill Rd, Essex, CT 06426-1431 | 2007-08-21 |
| 1457578809 | Nancy Christine Ann Lucas | Social Worker | 2 Wildwood Medical Ctr, Essex, CT 06426-1154 | 2007-04-19 |
| 1487728846 | Donna E. Lemay | Social Worker | Po Box 8351, Essex, VT 05451-8351 | 2006-11-20 |
| Find all providers in ESSEX | ||||
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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.