MRS. JAN EMILY WILEY-EGDALL (NPI# 1811198112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811198112 |
| Entity Type | Individual |
| Full Name | MRS. JAN EMILY WILEY-EGDALL |
| Credential | MSW ,LICSW |
| Practice Address |
1140 Dorchester Ave Dorchester MA 02125-3305 |
| Mailing Address |
8 Brookvale St Apartment 2 Dorchester Center MA 02124-4810 |
| Practice Telephone | 6172880907 |
| Practice Fax Number | 6174740757 |
| Mailing Telephone | 6172961238 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LICSW103621 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1140 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-3305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689634859 | Deborah Jane Barnes | Nurse Practitioner | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2006-03-23 |
| 1679984017 | Kathleen Spehar Byron | Social Worker | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2014-05-19 |
| 1952543241 | Caroline A Orofo | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2009-04-01 |
| 1457521379 | Mariah Reid Daly | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2008-03-06 |
| 1780864744 | Rachel Autumn Pitot | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2007-11-07 |
| 1053512277 | Irlande Plancher | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2007-05-29 |
| 1851466270 | Frederica Davis Eder | Occupational Therapist | 1140 Dorchester Ave, Uphams Elder Service Plan, Dorchester, MA 02125 | 2006-11-21 |
| 1518043447 | Jacinta Uchenna Ndugba | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2006-10-31 |
| 1801972724 | Obiamaka Regina Ntukogu | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2006-10-31 |
| 1134204928 | Colleen Mcdonough Happas | Occupational Therapy Assistant | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| 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 |
|---|---|---|---|---|
| 1477176428 | Katherine Elizabeth David | Social Worker | 15 Neponset Ave Fl 3, Dorchester, MA 02122-2603 | 2020-05-26 |
| 1033778709 | Lee Braden Washburn | Social Worker | 31 Pleasant St Apt 3, Dorchester, MA 02125-1808 | 2019-06-06 |
| 1386115616 | Life's Journey LLC | Social Worker | 354 Norfolk St, Dorchester, MA 02124-4103 | 2018-12-16 |
| 1891260022 | Johnny Nguyen | Social Worker | 21 Romsey St # 2, Dorchester, MA 02125-1312 | 2018-10-03 |
| 1992280242 | Paula Diggs | Social Worker | 7 Pleasanton St, Dorchester, MA 02121-2305 | 2018-10-02 |
| 1497230445 | Matthew Lipuma | Social Worker | 26 Moultrie St, Dorchester, MA 02124-2230 | 2018-09-26 |
| 1588146328 | Margaret Ann Nicholson | Social Worker | 294 Bowdoin St, Dorchester, MA 02122-1814 | 2018-08-29 |
| 1396227054 | Mary M Ward | Social Worker | 451 Blue Hill Ave Fl Dcf 2, Dorchester, MA 02121-4323 | 2018-08-29 |
| 1275012056 | Kevin D Barboza | Social Worker | 20 Windermere Rd, Dorchester, MA 02125-2014 | 2018-08-12 |
| 1790287126 | Chelsea Lynne Lloyd | Social Worker | 451 Blue Hill Ave, Dorchester, MA 02121-4323 | 2018-03-01 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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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.