NYLA MCCULLOCH (NPI# 1477678076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477678076 |
| Entity Type | Individual |
| Full Name | NYLA MCCULLOCH |
| Practice Address |
1 W Water St Suite 201 Wakefield MA 01880-2907 |
| Practice Telephone | 7812458185 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
105934 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | P04787 | 01 |
| Street Address |
1 W WATER ST SUITE 201 |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376569285 | Maureen Frances Galvin-nadeau | Registered Nurse | 1 W Water St, Suite 201, Wakefield, MA 01880-2907 | 2006-07-14 |
| 1699184010 | Angela Karogiannis Dmd | Dentist | 1 W Water St, Suite 101, Wakefield, MA 01880-2929 | 2014-08-11 |
| 1942636576 | New Beginnings Family Chiropractic Center LLC | Health Maintenance Organization | 1 W Water St, Suite 207, Wakefield, MA 01880-2929 | 2013-09-14 |
| 1265600548 | Paolo Incampo Dmd, PC | Dentist | 1 W Water St, 101, Wakefield, MA 01880-2907 | 2008-02-20 |
| 1649468760 | Emily L Valorz | Chiropractor | 1 W Water St, Suite 207, Wakefield, MA 01880-2929 | 2007-10-15 |
| 1346434545 | Orthodontics By Design, P.C. | Dentist | 1 W Water St, Suite 100, Wakefield, MA 01880-2907 | 2007-08-30 |
| 1558572644 | Mary Angelic Gangoy | Dentist | 1 W Water St, Suite 100, Wakefield, MA 01880-2907 | 2007-05-24 |
| 1457478794 | Paolo Incampo | Dentist | 1 W Water St, Suite 101, Wakefield, MA 01880-2907 | 2007-03-23 |
| 1215060728 | Jennifer J. Bak | Chiropractor | 1 W Water St, Suite 207, Wakefield, MA 01880-2907 | 2007-03-13 |
| 1326103573 | Christine E Mckenna | Dentist | 1 W Water St, Suite 100, Wakefield, MA 01880-2907 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| 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 |
|---|---|---|---|---|
| 1063026094 | Mary Karen Eisner | Social Worker | 7 Lassell St, Wakefield, MA 01880-4102 | 2020-09-08 |
| 1720563422 | Ellen Patricia Harnen | Social Worker | 272 Albion St Apt 18, Wakefield, MA 01880-3160 | 2018-09-27 |
| 1871078949 | Lindsay Ashton Lawler | Social Worker | 21 Pitman Ave, Wakefield, MA 01880-4236 | 2018-09-25 |
| 1710460100 | Sherry Jackson | Social Worker | 108 Camp Fuller Rd, Wakefield, RI 02879-4500 | 2018-09-11 |
| 1932682713 | Tracy Ellen Perkins | Social Worker | 183 Salem St, Wakefield, MA 01880-1989 | 2018-09-08 |
| 1679054803 | Bryan Edward Mcmullen Harter | Social Worker | 15 Dexter Ln, Wakefield, MA 01880-2031 | 2018-08-26 |
| 1518444520 | Carol Plotkin | Social Worker | 26 Francis Ave, Wakefield, MA 01880-3951 | 2018-07-23 |
| 1992169775 | Amy Fratto | Social Worker | 17 Wharton Park, Wakefield, MA 01880-2023 | 2016-04-07 |
| 1225491681 | Deborah Mccurdy | Social Worker | 264 Prospect Rd, Wakefield, RI 02879-7060 | 2016-04-03 |
| 1437522349 | Nathan Wilcox | Social Worker | 7 Eunice Cir, Wakefield, MA 01880-4910 | 2015-11-02 |
| Find all providers in WAKEFIELD | ||||
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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.