MR. ANDREW CHARLES CARLSON (NPI# 1588879464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588879464 |
| Entity Type | Individual |
| Full Name | MR. ANDREW CHARLES CARLSON |
| Practice Address |
340 Main St Ste 383 Worcester MA 01608-1694 |
| Mailing Address |
261 Old Mill Rd Shrewsbury MA 01545-2289 |
| Practice Telephone | 5087914976 |
| Mailing Telephone | 5083292003 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750649885 | Andrew Clifford Carlson II | Radiologic Technologist | 2000 Via Royale Apt 2004, Jupiter, FL 33458-7084 | 2012-04-26 |
| 1518297928 | Andrew J Carlson | Specialist/Technologist | 601 Perimeter Dr Ste 100, Lexington, KY 40517-4121 | 2010-01-07 |
| 1922059252 | Andrew Charles Carlson | Pediatrics | 116 W Church St, Americus, GA 31709-3508 | 2006-05-12 |
| 1427673417 | Andrew Thomas Carlson | Pharmacist | 3901 Beaubien St Rm 108, Detroit, MI 48201-2119 | 2020-06-15 |
| 1396263885 | Andrew Carlson | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2017-09-05 |
| 1730537119 | Andrew Carlson | Physical Therapist | 2191 Nw 2nd St Bldg 4, Mcminnville, OR 97128-9106 | 2016-05-26 |
| 1972957843 | Andrew Carlson | Specialist/Technologist | 2301 25th St S, Fargo, ND 58103 | 2016-04-18 |
| 1932481983 | Andrew Kenneth Carlson | Physical Therapist | 24630 Sandhill Blvd, Unit 303, Punta Gorda, FL 33983-5229 | 2011-09-15 |
| 1659663185 | Andrew Carlson | Nurse Anesthetist, Certified Registered | 3610 Richmond Cir, Grand Island, NE 68803-3927 | 2011-05-02 |
| 1811036825 | Andrew Phillip Carlson | Neurological Surgery | 1 University of New Mexico, Msc 10 5615 (department of Neurosurgery), Albuquerque, NM 87131-0001 | 2007-02-06 |
| Street Address |
340 MAIN ST STE 383 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427405521 | Stephanie Deleon | Student in an Organized Health Care Education/Training Program | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2016-05-18 |
| 1649643305 | Jared Stephen Going | Social Worker | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2015-11-03 |
| 1912390121 | Nicholas James Collura | Social Worker | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2015-03-12 |
| 1235473851 | Kara Drobnis | Social Worker | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2012-11-20 |
| 1316245939 | Randy Morin | Counselor | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2011-03-06 |
| 1306090048 | Jeffrey Michael Bukolt | Counselor | 340 Main St Ste 383, Worcester, MA 01608-1694 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834847 | Brenna Morgan | Counselor | 2 Duncannon Ave Apt 9, Worcester, MA 01604-5139 | 2020-09-01 |
| 1043820384 | Dylan Gibbons | Counselor | 62 Wedgewood Rd, Worcester, MA 01602-1027 | 2020-08-02 |
| 1457977316 | Taylor Neil | Counselor | 2 Norton St, Worcester, MA 01605-3311 | 2020-06-17 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1932746708 | Jason Boyle | Counselor | 495 Grove St, Worcester, MA 01605-1242 | 2019-11-29 |
| 1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
| 1679119853 | Stephanie K Corio | Counselor | 102 Plantation St Apt 3, Worcester, MA 01604-4043 | 2019-11-21 |
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1306480678 | Joy Robinson | Counselor | 44 Byron St Apt 32, Worcester, MA 01606-2837 | 2019-10-30 |
| 1841840063 | Paulina Brunelle | Counselor | 324 Clark St Rear 2, Worcester, MA 01606-1214 | 2019-09-19 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on MR. ANDREW CHARLES CARLSON.
| 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.