CARLA YVETTE WARD (NPI# 1720363849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720363849 |
| Entity Type | Individual |
| Full Name | CARLA YVETTE WARD |
| Credential | CSAC |
| Practice Address |
5735 Durand Ave Suite A Racine WI 53406 |
| Mailing Address |
5735 Durand Ave Ste A Mount Pleasant WI 53406-5011 |
| Practice Telephone | 2625981392 |
| Practice Fax Number | 2625981395 |
| Mailing Telephone | 2625981392 |
| Mailing Fax Number | 2625981395 |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2016-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15532-132 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063677797 | Carla Dees Ward | Physical Therapist | 8524 Bannerman Bluff Dr, Tallahassee, FL 32312-8026 | 2008-07-22 |
| 1275557274 | Carla Marie Ward | Allergy & Immunology | 2 Wisconsin Circle #250, Chevy Chase, MD 20815 | 2006-07-26 |
| 1184914731 | Carla Ward | Chiropractor | 1820 N Belt E, Belleville, IL 62221-5523 | 2011-04-17 |
| Street Address |
5735 DURAND AVE SUITE A |
| City | RACINE |
| State | WI |
| Zip Code | 53406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
| 1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
| 1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
| 1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
| 1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
| 1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
| 1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| Find all providers in zip 53406 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1255798351 | Lazria Price | Counselor | 3801 Monarch Drive 2d, Racine, WI 53406-5500 | 2016-01-20 |
| 1881067197 | Jerry Morris | Counselor | 1303 Chatham St, Racine, WI 53402-4947 | 2015-11-09 |
| 1225434244 | Tuanquilla Montessa Thompson | Counselor | 829 Wisconsin Ave, Racine, WI 53403-1505 | 2014-11-18 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1578811980 | Orlesia Gay Gooseberry | Counselor | 1501 Albert St, North Unit Upper, Racine, WI 53404-2713 | 2012-08-16 |
| 1871804963 | Sharon Johnson-visor | Counselor | 6939 Mariner Dr Ste C, Racine, WI 53406-4090 | 2010-06-23 |
| 1770753766 | Sara L De Grave | Counselor | 521 Sixth St, Racine, WI 53403-1117 | 2008-03-05 |
| 1083813224 | Mwa Counseling | Counselor | 4425 Taylor Ave, Racine, WI 53405-4642 | 2007-07-17 |
| Find all providers in RACINE | ||||
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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.