MS. NANCY CAROL HETHERINGTON (NPI# 1841209210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841209210 |
| Entity Type | Individual |
| Full Name | MS. NANCY CAROL HETHERINGTON |
| Credential | LICSW |
| Practice Address |
120 Wayland Ave Suite 1 Providence RI 02906-4318 |
| Practice Telephone | 4017099497 |
| Practice Fax Number | 4017093776 |
| Mailing Telephone | 4017099497 |
| Mailing Fax Number | 4017093776 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW01151 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | MEDICARE PTAN | 8090041211 | 01 |
| RI | 9004121 | 05 | |
| RI | PSYCHOTHERAPIST | 26586-3 | 01 |
| RI | PSYCHOTHERAPIST | 410721 | 01 |
| RI | PSYCHOTHERAPIST | 62-83298 | 01 |
| Street Address |
120 WAYLAND AVE SUITE 1 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991462 | Because I Matter Wellness Inc | Social Worker | 120 Wayland Ave, Suite 4b, Providence, RI 02906-4318 | 2005-11-30 |
| 1265974208 | Regina Cobb | Community Health Worker | 120 Wayland Ave, Suite #6, Providence, RI 02906-4318 | 2016-11-08 |
| 1255732111 | Elaine Martin, Licsw, LLC | Social Worker | 120 Wayland Ave, Suite 1, Providence, RI 02906-4318 | 2014-09-10 |
| 1942520861 | Peaceful Mind, Inc. | Social Worker | 120 Wayland Ave, Providence, RI 02906-4318 | 2010-06-02 |
| 1578711990 | Counseling and Neurofeedback Center, Inc. | Social Worker | 120 Wayland Ave, Suite 1, Providence, RI 02906-4318 | 2008-08-28 |
| 1801071311 | Cecilia Marie Dietzler | Social Worker | 120 Wayland Ave, Suite 4b, Providence, RI 02906-4318 | 2008-01-02 |
| 1376662007 | Mary C Mueller | Social Worker | 120 Wayland Ave, Providence, RI 02906 | 2007-03-27 |
| 1861551376 | Mitchell Dondey | Psychologist | 120 Wayland Ave, Providence, RI 02906-4318 | 2006-12-08 |
| 1588757264 | Caroline E Obrecht | Social Worker | 120 Wayland Ave, Providence, RI 02906 | 2006-10-02 |
| 1275544934 | Alan B. Bearman | Social Worker | 120 Wayland Ave, Suite 1, Providence, RI 02906-4318 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| 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 |
|---|---|---|---|---|
| 1396351714 | Live You Well LLC | Social Worker | 1 Richmond Sq Ste 132c, Providence, RI 02906-5140 | 2020-09-21 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1295362671 | Elliot Ruggles | Social Worker | 101 Tobey St, Providence, RI 02909-1830 | 2020-03-25 |
| 1497380190 | Rebecca Anne King | Social Worker | 225 Stonehenge Cir, Providence, UT 84332-9200 | 2020-03-03 |
| 1740820919 | Georgina Dauda | Social Worker | 42 Rutherglen Ave, Providence, RI 02907-3523 | 2020-01-15 |
| 1982255972 | Nicole A Faison | Social Worker | 1 Richmond Sq Ste 305w, Providence, RI 02906-5141 | 2019-09-22 |
| 1336795053 | Caitlin Beatrice Frumerie | Social Worker | 130 Vinton St Fl 2, Providence, RI 02909-1134 | 2019-08-19 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760940449 | Julie Anna-marie Panton | Social Worker | 205 Waterman St Ste 205, Providence, RI 02906-4313 | 2019-03-12 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on MS. NANCY CAROL HETHERINGTON.
| 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.