MARY CATHERINE DESMOND (NPI# 1740499383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740499383 |
| Entity Type | Individual |
| Full Name | MARY CATHERINE DESMOND |
| Credential | LICSW, LPC, CSAC |
| Practice Address |
N8301 County Road A Watertown WI 53094-9151 |
| Practice Telephone | 9202613309 |
| Mailing Telephone | 9202613309 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
2006-132 | WI | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
1524-125 | WI | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
3358-123 | WI | Behavioral Health & Social Service Providers |
| X | 163W00000X | Registered Nurse | 37015-030 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407847759 | Mary Sheila Desmond | Pediatrics | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2005-11-03 |
| Street Address |
N8301 COUNTY ROAD A |
| City | WATERTOWN |
| State | WI |
| Zip Code | 53094-9151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025371 | Addie Marie Littrell | Pharmacist | 624 S Church Street, Pharmacy Department, Watertown, WI 53094 | 2020-02-13 |
| 1144788274 | Robert Scott Johnson | Dentist | 314 W. Main St., Watertown, WI 53094 | 2019-03-07 |
| 1043785264 | Christian Long | Physical Therapist | Watertown Regional Medical Center, 1684 S Church St, Watertown, WI 53094 | 2018-10-04 |
| 1558566497 | Georgia E Meyer | Occupational Therapist | Rahab In Motion, 615 East Main St Suite B, Watertown, WI 53094 | 2007-06-20 |
| 1588789036 | Kjm Enterprises Inc | Home Health | 111 N Third Street, Watertown, WI 53094 | 2007-03-20 |
| 1114085412 | Paul R Sommers Dds Sc | Dentist | 121 Oakridge Court, Watertown, WI 53094 | 2006-12-05 |
| 1063593614 | Stein Optical Inc | Eyewear Supplier (Equipment, not the service) | 622 S Church St, Watertown, WI 53094 | 2006-10-18 |
| 1598851800 | David J Groh | Dentist | 1521 Doctors Ct, Watertown, WI 53094 | 2006-10-05 |
| 1861594251 | Robert Delano Heinen | General Practice | 700 Hoffmann Dr, Bethesda Lutheran Homes and Services, Watertown, WI 53094 | 2006-09-05 |
| 1669483897 | Donald Alan Wollheim | Surgery | 1911 Gateway Drive, Watertown, WI 53094 | 2006-08-11 |
| Find all providers in zip 53094 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1275993289 | Bryan Stephey | Counselor | 48 Spruce St, Watertown, MA 02472-1904 | 2016-03-03 |
| 1457729436 | Betsy Lane | Counselor | 604 Woodbridge Trl, Watertown, WI 53094-6092 | 2015-09-09 |
| 1659776524 | Martin Henson | Counselor | 123 Galen St, Watertown, MA 02472-4507 | 2014-11-04 |
| 1609217942 | Nancy K Bicknell | Counselor | 104 N 1st St, Suite 3, Watertown, WI 53094-3754 | 2013-07-15 |
| 1134376783 | Casey L Cook | Counselor | 167 Polk Street, Suite 300, Watertown, NY 13601-2770 | 2008-08-26 |
| 1679655856 | Shane Michael Larson | Counselor | 100 S Maple, Suite 204, Watertown, SD 57201-3678 | 2006-10-19 |
| 1194323089 | Timothy Mcconnell | Counselor | 1575 Washington St, Watertown, NY 13601-9371 | 2020-10-13 |
| 1255955720 | Jennifer Hansen | Counselor | 123 19th St Ne, Watertown, SD 57201-2823 | 2020-06-01 |
| 1245860808 | Vanessa Vallance | Counselor | 1575 Washington St, Watertown, NY 13601-9371 | 2020-01-23 |
| Find all providers in WATERTOWN | ||||
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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.