TARA GRAHAM (NPI# 1548478035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548478035 |
| Entity Type | Individual |
| Full Name | TARA GRAHAM |
| Credential | LICSW |
| Practice Address |
79 Weaver Street Vermont Children's Aid Society Winooski VT 05404-0127 |
| Mailing Address |
Po Box 127 Vermont Children's Aid Society Winooski VT 05404-0127 |
| Practice Telephone | 8026550006 |
| Practice Fax Number | 8026550073 |
| Mailing Telephone | 8026550006 |
| Mailing Fax Number | 8026550073 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
089-0001122 | VT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346899606 | Tara Graham | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2019-09-10 |
| Street Address |
79 WEAVER STREET VERMONT CHILDREN'S AID SOCIETY |
| City | WINOOSKI |
| State | VT |
| Zip Code | 05404-0127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124086582 | John Ward | Social Worker | 79 Weaver Street, Vermont Childrens Aid Society, Winooski, VT 05404-0127 | 2006-05-03 |
| 1861402208 | Dorsey T Naylor | Social Worker | 79 Weaver Street, Vermont Children's Aid Society, Winooski, VT 05404-0127 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
| 1861555922 | Eva Simon | Counselor | 20 West Canal St, Woolen Mill Offices, Winooski, VT 05404 | 2006-12-19 |
| 1326109620 | Mary E Kegelman | Nurse Practitioner | Champlain Mill, 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 | 2006-12-12 |
| 1164596730 | Anne Minor Knott | Family Medicine | 32b Malletts Bay Avenue, Winooski Family Health, Winooski, VT 05404 | 2006-11-17 |
| 1376596478 | Christine M. Staats | Family Medicine | 32 East Malletts Bay Ave., Winooski, VT 05404 | 2006-05-18 |
| 1700181856 | Ashley Rebecca Bercovici | Massage Therapist | 467 Main St, Winooski, VT 05404 | 2011-01-21 |
| 1861705766 | Kandi Poulin | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2010-07-20 |
| 1063583441 | Timberlane Physical Therapy Inc | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1437220811 | Lesli R Bell | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| 1114098449 | Candice S Brueck | Physical Therapist | 321 Main Street, Suite D, Winooski, VT 05404 | 2006-11-10 |
| Find all providers in zip 05404 | ||||
| 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 |
|---|---|---|---|---|
| 1982053955 | Patricia E Danehey | Social Worker | 9 Franklin Street, Winooski, VT 05404-1866 | 2016-06-09 |
| 1124086582 | John Ward | Social Worker | 79 Weaver Street, Vermont Childrens Aid Society, Winooski, VT 05404-0127 | 2006-05-03 |
| 1750355368 | Vermont Children's Aid Society | Social Worker | 79 Weaver St, Winooski, VT 05404-2038 | 2006-02-13 |
| 1861402208 | Dorsey T Naylor | Social Worker | 79 Weaver Street, Vermont Children's Aid Society, Winooski, VT 05404-0127 | 2006-08-08 |
| 1386610012 | Alice Siegriest | Social Worker | 79 Weaver St, Vermont Children's Aid Society, Winooski, VT 05404-2038 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407042 | Katharine Giguere Morris | Social Worker | 358 Bailey Rd, Northfield, VT 05663-6078 | 2020-11-05 |
| 1548874555 | Bryan Wilkinson | Social Worker | 123 Meadow Dr, Colchester, VT 05446-6422 | 2020-09-08 |
| 1871110940 | Hope and Resilience Therapy, LLC | Social Worker | 12 River St Unit 103, Milton, VT 05468-3628 | 2020-07-06 |
| 1346866001 | Timothy Ricciardello | Social Worker | 2948 E Hill Rd, Wolcott, VT 05680-4097 | 2020-06-18 |
| 1376167528 | Diana Keenan | Social Worker | 125 Saint Paul St Ste 106, Burlington, VT 05401-8462 | 2020-06-03 |
| 1073133831 | Gwynn Yandow | Social Worker | 21 Robin Way, Brattleboro, VT 05301-4277 | 2020-04-22 |
| 1891324638 | Christin Guilder | Social Worker | 358 Dupre Dr, Guilford, VT 05301-8795 | 2020-04-03 |
| 1538798491 | Earthside Counseling, LLC | Social Worker | 337 College St Ste 201, Burlington, VT 05401-8344 | 2020-04-03 |
| 1740812239 | Meri Stiles | Social Worker | 172 Pleasant St, Saint Johnsbury, VT 05819-1425 | 2020-02-12 |
| 1881225258 | Ellen Repstad | Social Worker | 312 Rockydale Rd, Bristol, VT 05443-5247 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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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.