CAROLYN WASIK-PETERSEN (NPI# 1619366085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619366085 |
| Entity Type | Individual |
| Full Name | CAROLYN WASIK-PETERSEN |
| Credential | LCSW-R |
| Practice Address |
19 North St Middle Island NY 11953-1757 |
| Practice Telephone | 5163800005 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
PR046337-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
19 NORTH ST |
| City | MIDDLE ISLAND |
| State | NY |
| Zip Code | 11953-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1598252553 | Karen Simpson | Dietitian, Registered | 23 Summersweet Drive, Middle Island, NY 11953 | 2018-04-16 |
| 1699285502 | Amanda Rebekah Maye | Licensed Practical Nurse | 24 Wilson Avenue, Middle Island, NY 11953 | 2017-10-05 |
| 1982042065 | Shanti Kumari Chand | Licensed Practical Nurse | 49 Crest St, Oak Hollow Nursing Center, Middle Island, NY 11953 | 2013-06-11 |
| 1154664886 | Achieve Beyond Oediatric Therapy and Early Intervention Services | Early Intervention Provider Agency | 1103 Stonegate Way, Middle Island, NY 11953 | 2013-04-01 |
| 1831434018 | Amanda M Titus | Licensed Practical Nurse | 6 Redbud Ct, Middle Island, NY 11953 | 2012-11-29 |
| 1740561810 | Daniel Joseph Mckiernan | Registered Nurse | 217 Lake Point Cir, Middle Island, NY 11953 | 2011-09-02 |
| 1760787212 | Marissa Rodriguez | Speech-Language Pathologist | 41 Yaphank Middle Island Rd, Middle Island, NY 11953 | 2011-01-13 |
| 1376861542 | Sara Buckley | Licensed Practical Nurse | 341 Lake Pointe Dr, Middle Island, NY 11953 | 2010-05-12 |
| 1669645818 | Kimberley Jean Levy | Physician Assistant | 281 Middle Country Road, Middle Islana, NY 11953 | 2008-04-09 |
| Find all providers in zip 11953 | ||||
| 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 |
|---|---|---|---|---|
| 1477873925 | Kathleen Russell | Social Worker | 27 Bailey Ct, Middle Island, NY 11953-1321 | 2010-06-08 |
| 1033223722 | Robert Charles Westbrook | Social Worker | 207 Fairview Cir, Middle Island, NY 11953-2352 | 2006-08-18 |
| 1245277862 | Bill Rene Meritet | Social Worker | 30 Country View Ln, Middle Island, NY 11953-1265 | 2006-06-01 |
| 1194987958 | Rosemary Sanchez-moralez | Social Worker | 606 Middle Country Rd, Middle Island, NY 11953-2556 | 2008-07-01 |
| 1528279585 | Mary Bennett | Social Worker | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2007-05-24 |
| 1427265057 | Elizabeth B Reynolds | Social Worker | 35 Longwood Rd, Middle Island, NY 11953-2045 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLE ISLAND |
| Zip Code | 11953 |
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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.