HEALTHDRIVE BEHAVIORAL HEALTH, LLC (NPI# 1568737443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568737443 |
Entity Type | Organization |
Organization Name | HEALTHDRIVE BEHAVIORAL HEALTH, LLC |
Practice Address |
85 Barnes Rd Suite 207 Wallingford CT 06492-1832 |
Mailing Address |
888 Worcester St Suite 130 Wellesley MA 02482-3744 |
Practice Telephone | 8889646681 |
Practice Fax Number | 8886620859 |
Mailing Telephone | 6179646681 |
Mailing Fax Number | 3396862561 |
Enumeration Date | 2012-03-12 |
Last Update Date | 2012-05-23 |
Authorized Official Name | JOE ERRANTE (CEO) |
Authorized Official Telephone | 8572550300 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | Healthdrive Behavioral Health, LLC | 888 Worcester Street, Suite 130, Wellesley, MA 02482 |
Massachusetts Corporations | HEALTHDRIVE BEHAVIORAL HEALTH, LLC | 888 Worcester Street, Suite 130, Wellesley, MA 02482 |
Street Address |
85 BARNES RD SUITE 207 |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-1832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255373734 | Jason Stuart Kirk | Physical Therapist | 85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 | 2006-06-11 |
1659816627 | Docaxt, Inc | Orthopaedic Surgery | 85 Barnes Rd, Suite 301, Wallingford, CT 06492-1832 | 2016-12-30 |
1477939015 | Brian Sniffin | Physical Therapist | 85 Barnes Rd, Wallingford, CT 06492-1832 | 2015-08-05 |
1831578913 | Nutmeg Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 85 Barnes Rd, Suite 302, Wallingford, CT 06492-1832 | 2015-05-22 |
1508299496 | Tirzah Grace Antoine | Physical Therapist | 85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832 | 2013-08-14 |
1497025746 | Calatayud Chiropractic Center, PC | Chiropractor | 85 Barnes Rd, Suite 101, Wallingford, CT 06492-1832 | 2012-01-04 |
1477843944 | Judith Ann Nist | Dental Hygienist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2011-04-18 |
1790081131 | Renee Scatton | Technician/Technologist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2011-02-02 |
1609170273 | Julie C Vanderkroef | Dental Hygienist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2010-12-22 |
1487955076 | Laura Ellen Berger | Dentist | 85 Barnes Rd, Suite 207, Wallingford, CT 06492-1832 | 2010-11-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
Find all providers in zip 06492 |
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 |
---|---|---|---|---|
1639796360 | Kimberley Robinson Carr | Social Worker | 87 Hintz Dr, Wallingford, CT 06492-2001 | 2020-06-29 |
1487128484 | Cristina Eleanor Zurlis | Social Worker | 17 Sorrento Rd, Wallingford, CT 06492-4857 | 2019-01-14 |
1215468699 | Daniella Grieco | Social Worker | 28 Deer Run Rd, Wallingford, CT 06492-3306 | 2017-03-27 |
1104213347 | Michael Pasinski | Social Worker | 6 Mcnabola Ln, Wallingford, CT 06492-2639 | 2015-04-24 |
1801281662 | Stephanie Lance | Social Worker | 4 Spice Hill Dr, Wallingford, CT 06492-4338 | 2015-03-30 |
1831470210 | Stacey L. Martwinski-nardozzi | Social Worker | Soul Friends 300 Church St, Suite 105, Wallingford, CT 06492-2253 | 2011-08-30 |
1770879819 | Angela Washington | Social Worker | 519 5th Ridge Rd, Wallingford, CT 06492-2009 | 2011-06-28 |
1972898575 | Beth A Friess | Social Worker | 65 S Colony St, Wallingford, CT 06492-4150 | 2011-06-13 |
1003108887 | N.c.k., LLC | Social Worker | 2 Bull Ave, 7, Wallingford, CT 06492-6514 | 2011-05-11 |
1487894051 | Jayma Calgiano Sitton | Social Worker | 306 Henry Ln, Wallingford, PA 19086-6412 | 2009-02-23 |
Find all providers in WALLINGFORD |
City | WALLINGFORD |
Zip Code | 06492 |
Please comment or provide details below to improve the information on HEALTHDRIVE BEHAVIORAL HEALTH, LLC.
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.