THERESA A BLACKMER (NPI# 1629093794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629093794 |
| Entity Type | Individual |
| Full Name | THERESA A BLACKMER |
| Practice Address |
883 Paddock Ave Rushford Center Inc Meriden CT 06451-0000 |
| Practice Telephone | 2036305216 |
| Mailing Telephone | 2036305216 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
001202 | CT | Behavioral Health & Social Service Providers |
| Street Address |
883 PADDOCK AVE RUSHFORD CENTER INC |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748740 | Alexandra Juchniewicz | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-07-30 |
| 1477193670 | Jillian Bridgette Lode | Student in an Organized Health Care Education/Training Program | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-15 |
| 1518507714 | Leslie Ann Betters | Counselor | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-15 |
| 1134769615 | Rodrigo Fernando Villegas | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-13 |
| 1023658564 | Jillian Russell | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-13 |
| 1194365833 | Amanda Brail | Student in an Organized Health Care Education/Training Program | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1962042630 | Michael E Cowan Jr. | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1386284040 | Amy Lynn Warzecha | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1285274944 | Rebecca Lauren Shea | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| 1811537533 | Ciara N Perez | Social Worker | 883 Paddock Ave, Meriden, CT 06450-7044 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| 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 |
|---|---|---|---|---|
| 1164039004 | Megan Gervais | Social Worker | 34 Runge Dr, Meriden, CT 06451-2769 | 2020-09-24 |
| 1144876723 | Jeffrey Gagliardi | Social Worker | 77 Godek Hill Rd, Meriden, CT 06451-5075 | 2019-08-10 |
| 1831757970 | Marissa Parker | Social Worker | 51 Meadow Brook Dr, Meriden, CT 06450-2576 | 2019-06-04 |
| 1487171989 | Finish Right Pllc | Social Worker | 212 Colony St Ste 1a, Meriden, CT 06451-3227 | 2017-08-24 |
| 1235670035 | Natacha Kerelejza | Social Worker | 43 Retreat Ave, Meriden, CT 06451-2821 | 2017-03-13 |
| 1730581612 | Megan Czaja | Social Worker | 158 Paddock Ave Apt 105, Meriden, CT 06450-6973 | 2014-09-22 |
| 1306247903 | Lauren Annino | Social Worker | 31 Terrace Gdns, Meriden, CT 06451-5348 | 2014-09-15 |
| 1639509573 | Jennifer Lamb | Social Worker | 100 S Dawson St, Meriden, KS 66512-9586 | 2013-11-13 |
| 1699101279 | Ariel G Blau | Social Worker | 538 Preston Ave, Meriden, CT 06450-4851 | 2013-09-16 |
| 1992994321 | David Anthony Smith | Social Worker | 21 Carpenter Hts, Meriden, CT 06450-6108 | 2007-10-22 |
| Find all providers in MERIDEN | ||||
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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.