MRS. STEPHANIE ELAINE JACOBS KISILYWICZ (NPI# 1578863536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578863536 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE ELAINE JACOBS KISILYWICZ |
| Credential | LSW-C |
| Practice Address |
304 Hancock St Suite 2c Bangor ME 04401-6573 |
| Practice Telephone | 2079895701 |
| Practice Fax Number | 2079895720 |
| Mailing Telephone | 2079895701 |
| Mailing Fax Number | 2079895720 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSX11533 | ME | Behavioral Health & Social Service Providers |
| Street Address |
304 HANCOCK ST SUITE 2C |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053324293 | Carolyn Alice Wilson | Internal Medicine | 304 Hancock St, Bangor Va Clinic, Bangor, ME 04401 | 2006-08-15 |
| 1245601855 | Lucy Barnhart | Social Worker | 304 Hancock St, Suite 2h, Bangor, ME 04401-6573 | 2015-10-08 |
| 1811276124 | Jennifer Lynn Lynch | Mechanotherapist | 304 Hancock St, Ste 2g, Bangor, ME 04401-6573 | 2011-08-04 |
| 1275825804 | Northeast Chiropractic Center Pa | Chiropractor | 304 Hancock St, Suite 2g, Bangor, ME 04401-6573 | 2011-05-16 |
| 1205136058 | Cindy R Mclellan | Social Worker | 304 Hancock St, Bangor, ME 04401-6573 | 2010-10-27 |
| 1316247240 | Christine Bea Leighton | Social Worker | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-10-26 |
| 1417267642 | Pamalee Jean Ashmore | Social Worker | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-10-21 |
| 1124336060 | Aimee Lee Brown | Case Manager/Care Coordinator | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-09-14 |
| 1720394117 | Caley Lynn Yoder | Social Worker | 304 Hancock St, Bangor, ME 04401-6573 | 2010-08-24 |
| 1164738613 | Meghan L Hannington | Social Worker | 304 Hancock St, Suite 2c, Bangor, ME 04401-6573 | 2010-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896312 | Savanna Rae Power | Social Worker | 1200 Ohio St., Bangor, ME 04402 | 2017-12-05 |
| 1265983290 | Alison S Mitchell | Social Worker | 61 Main St Ste 60, Bangor, ME 04401-6469 | 2016-10-14 |
| 1609210400 | Leroy Freeman Jr. | Social Worker | 32001 County Road 687, Bangor, MI 49013-9476 | 2013-04-23 |
| 1306141593 | Sean E Weber | Social Worker | 370 Harlow St, Bangor, ME 04401-4908 | 2011-01-19 |
| 1487975801 | Angela Madden | Social Worker | 444 Stillwater Avenue, Suite 204, Kidspeace National Centers of New England, Inc., Bangor, ME 04401 | 2010-06-21 |
| 1740470871 | Eric C Taylor | Social Worker | 88 Hammond, Suite 201, Bangor, ME 04401 | 2007-07-25 |
| 1275660979 | Manna Inc | Social Worker | 629 Main Street, Bangor, ME 04401 | 2007-02-28 |
| 1891855920 | Leta Myers | Social Worker | 263 State St Ste 23, Bangor, ME 04401-5438 | 2006-12-11 |
| 1902917198 | Carol Romeo Veits | Social Worker | 96 Harlow St Ste 221, Bangor, ME 04401 | 2006-08-31 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| Find all providers in BANGOR | ||||
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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.