CHRISTINE LOUISE ROSALES (NPI# 1710482104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710482104 |
| Entity Type | Individual |
| Full Name | CHRISTINE LOUISE ROSALES |
| Other Name | CHRISTINE LOUISE WESTERGARD |
| Credential | LCSW |
| Practice Address |
40 Mansfield Ave Willimantic CT 06226-2018 |
| Practice Telephone | 8604500585 |
| Practice Fax Number | 8604500763 |
| Mailing Telephone | 8604500585 |
| Mailing Fax Number | 8604500763 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
8983656-3501 | UT | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
10377 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2872 S Highland Dr, Salt Lake City, UT 841063147 | 8014858051 |
| Street Address |
40 MANSFIELD AVE |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346228905 | Generations Family Health Center, Inc. | Clinic/Center | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2006-01-04 |
| 1104442771 | Ariye M Krassner | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2020-06-19 |
| 1699239293 | Jung Mi De Thouars | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2019-01-28 |
| 1982176020 | Chinwendu Jennifer Chukwudike | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-12-31 |
| 1740755750 | Lacy Kornilieff | Social Worker | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-10-05 |
| 1295244135 | Susie Bernado | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2017-09-22 |
| 1487109617 | Laura Nicole Sabourin | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2016-08-17 |
| 1487011680 | Kerry Silva | Marriage & Family Therapist | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2016-01-20 |
| 1194100065 | Brett Robertson | Nurse Practitioner | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2015-07-21 |
| 1265821581 | Erica Lyons | Nurse Practitioner | 40 Mansfield Ave, Generations Family Health Center, Willimantic, CT 06226-2018 | 2015-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| 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 |
|---|---|---|---|---|
| 1780141465 | Change Counseling, LLC | Social Worker | 750r Main St, Willimantic, CT 06226-2504 | 2019-02-28 |
| 1386154516 | Chloe Duhaime Marrero | Social Worker | 322 Main St Ste 1h, Willimantic, CT 06226-3152 | 2017-10-02 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1023564002 | Karvada Monique Hurt | Social Worker | 65 Peru St, Willimantic, CT 06226-1603 | 2016-08-29 |
| 1912303843 | Patricia Parks | Social Worker | 322 Main St Ste 1j, Willimantic, CT 06226-3152 | 2014-11-04 |
| 1740530336 | Katherine I Bonilla | Social Worker | 872 Main St, Willimantic, CT 06226-2342 | 2012-09-12 |
| 1033744289 | Lori Bernier | Social Worker | 112 Mansfield Ave, Willimantic, CT 06226-2045 | 2020-03-09 |
| 1891349551 | A Better You Outpatient Mental Health Services | Social Worker | 322 Main St Ste 1j, Willimantic, CT 06226-3152 | 2019-07-30 |
| 1275004012 | Yabneel Marrero-canales | Social Worker | 322 Main St Ste 1h, Willimantic, CT 06226-3152 | 2018-12-05 |
| 1740755750 | Lacy Kornilieff | Social Worker | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2018-10-05 |
| Find all providers in WILLIMANTIC | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
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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.