ELLEN H THEODORES (NPI# 1801197827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801197827 |
| Entity Type | Individual |
| Full Name | ELLEN H THEODORES |
| Credential | LCSW |
| Practice Address |
153b Park Rowe Brunswick ME 04011 |
| Practice Telephone | 2072455087 |
| Mailing Telephone | 2072455087 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2013-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LC14014 | ME | Behavioral Health & Social Service Providers |
| Street Address |
153B PARK ROWE |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| 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 |
|---|---|---|---|---|
| 1528697216 | Emily Barb | Social Worker | 1216 Younkins Dr, Brunswick, MD 21716-9752 | 2020-04-03 |
| 1801387295 | Allyson Christianson | Social Worker | 1115 Sycamore Ave, Brunswick, GA 31520-7440 | 2018-05-22 |
| 1811406440 | Lauren Burleigh | Social Worker | 6 Federal St, Brunswick, ME 04011-1508 | 2017-09-27 |
| 1699222828 | Laura Young | Social Worker | 62 Pegasus St Ste 300, Brunswick, ME 04011-5028 | 2016-09-06 |
| 1427414721 | Katherine Moeller | Social Worker | 54 Cumberland St Ste 4, Brunswick, ME 04011-1829 | 2016-01-04 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1396096533 | Katrina Renee Chisholm | Social Worker | 1 Youth Estate Dr, Brunswick, GA 31525-7206 | 2012-09-27 |
| 1417210105 | Justin C Trozzi | Social Worker | 37 Mill St # 7, Brunswick, ME 04011-1914 | 2012-06-19 |
| 1073873725 | N. Katherine Webb, Inc. | Social Worker | 502 1/2 Gloucester Street, Suite #3, Brunswick, GA 31520-7021 | 2012-05-29 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on ELLEN H THEODORES.
| 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.