MARKYSHA DOUGLAS (NPI# 1700412806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700412806 |
| Entity Type | Individual |
| Full Name | MARKYSHA DOUGLAS |
| Practice Address |
458 Grand Ave Ste 103 New Haven CT 06513-3873 |
| Practice Telephone | 9146190522 |
| Mailing Telephone | 9146190522 |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2020-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 251B00000X | Case Management | Agencies |
| Street Address |
458 GRAND AVE STE 103 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06513-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124668694 | Genese Calloway Clark | Counselor | 458 Grand Ave Ste 103, New Haven, CT 06513-3873 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366906141 | Edward Rivera | Case Manager/Care Coordinator | 458 Grand Ave., Suite 103, New Haven, CT 06513 | 2019-01-25 |
| 1134698442 | Village of Angels Home Health Care LLC | Respite Care | 470 James Street, Suite 007, New Haven, CT 06513 | 2018-11-15 |
| 1609358068 | Sarah Khalil | Pharmacist | 745 Foxon Road, East Haven, CT 06513 | 2018-09-02 |
| 1912358375 | Domanice Poindexter | Nurse Practitioner | Caremore Health, 444 Foxon Rd, East Haven, CT 06513 | 2016-06-28 |
| 1568839876 | My Fair Haven Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 72 Grand Ave, New Haven, CT 06513 | 2015-08-24 |
| 1871979567 | Sankofa Counseling LLC | Community/Behavioral Health | 64 Thompson St Ste A101, East Haven, CT 06513 | 2015-08-04 |
| 1578967287 | Curtis Stewart | Pharmacy Technician | 661 Thompson Street, East Haven, CT 06513 | 2014-10-09 |
| 1548686322 | Davis Group LLC | Social Worker | 30 Grand Ave, New Haven, CT 06513 | 2014-03-17 |
| 1124459615 | James Lucas IIi | Dietitian, Registered | 167 Old Foxon Road, Unit 30b, New Haven, CT 06513 | 2013-12-09 |
| 1609206135 | Spretha Kadavath | Dentist | 50 Grand Ave, New Haven, CT 06513 | 2013-11-19 |
| Find all providers in zip 06513 | ||||
| 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 |
|---|---|---|---|---|
| 1306401377 | Reliant Behavioral Health and Community Services | Social Worker | 419 Whalley Ave Fl 1, New Haven, CT 06511-3019 | 2019-05-06 |
| 1740744432 | Nir Yehudai | Social Worker | 386 Prospect St Apt A2, New Haven, CT 06511-2117 | 2019-01-26 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1023525185 | Sarah Ranaudo | Social Worker | 419 Whalley Ave Ste 300, New Haven, CT 06511-3019 | 2018-01-10 |
| 1639555410 | Sophie Anna Lembeck | Social Worker | 265 College St Apt 12k, New Haven, CT 06510-2426 | 2015-08-04 |
| 1487043063 | Yvonne Patricia O'brien | Social Worker | 230 Ashmun Street, New Haven, CT 06511 | 2015-01-20 |
| 1568890580 | Donella Manno | Social Worker | 395 Blake St # 2, New Haven, CT 06515-1240 | 2013-10-30 |
| 1376808865 | Samuel Michael Adelman | Social Worker | 307 Humphrey St, New Haven, CT 06511-3934 | 2012-07-10 |
| 1659658649 | Tanisha Sonjia Bundy | Social Worker | 191 Whalley Ave Apt 158, New Haven, CT 06511-3220 | 2011-11-04 |
| 1093095689 | Priscilla Blassingale Taylor | Social Worker | 306 Dixwell Avenue, New Haven, CT 06511 | 2011-08-26 |
| Find all providers in NEW HAVEN | ||||
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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.