MS. ALICIA L PENA (NPI# 1861572166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861572166 |
| Entity Type | Individual |
| Full Name | MS. ALICIA L PENA |
| Credential | LCSW |
| Practice Address |
567 Vauxhall St Ext Suite 303 Waterford CT 06386-4341 |
| Practice Telephone | 8604470888 |
| Practice Fax Number | 8604470832 |
| Mailing Telephone | 8604470888 |
| Mailing Fax Number | 8604470832 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 004118 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 00421183500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366422 | Alicia Rodriguez Pena | Pharmacist | Calle 8 Esq 45, Parcelas Falu Rio Piedras, San Juan, PR 00924-3308 | 2017-06-20 |
| 1285970459 | Alicia Joann Pena | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2012-12-17 |
| 1487969234 | Alicia L Pena IIi | Counselor | 3125 Douglas Ave Ste 100, Des Moines, IA 50310-5310 | 2010-08-17 |
| Street Address |
567 VAUXHALL ST EXT SUITE 303 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06386-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811961782 | Margaret Ann Singer | Psychologist | 567 Vauxhall St Ext, Ste 304, Waterford, CT 06385-4341 | 2006-02-15 |
| 1538389325 | Josephine P Beebe | Psychologist | 567 Vauxhall St Ext, Suite 219, Waterford, CT 06385-4330 | 2007-04-26 |
| 1881727600 | Clarisse G Dicandia | Psychologist | 567 Vauxhall St Ext, Suite 304, Waterford, CT 06385 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243913 | Carrie A Lindsay | Specialist/Technologist | 4761 Highland Rd, Waterford, MI 48328-1178 | 2020-10-24 |
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1184222085 | Ryan James Mcnamara | Specialist/Technologist | 28914 Golden Cir, Waterford, WI 53185-1197 | 2020-10-13 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1285241323 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 125 Cross Rd, Waterford, CT 06385-1203 | 2020-09-23 |
| 1245847342 | Nuha Bakkal | Family Medicine | 1422 Mill Pond Dr, Waterford, MI 48327-3088 | 2020-09-23 |
| 1255947750 | Kiera Kenyon | Specialist/Technologist | 2 Short 6th St Apt B, Waterford, NY 12188-2223 | 2020-09-20 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1710591169 | Allison Jane Harry | Specialist/Technologist | 3258 Whitfield Ct, Waterford, MI 48329-2767 | 2020-09-02 |
| Find all providers in WATERFORD | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740748425 | Kelli Wencel | Social Worker | 4125 Baybrook Dr, Waterford, MI 48329-3876 | 2019-03-12 |
| 1396234365 | Kim Diane Brown | Social Worker | 7000 Villa Dr Apt 8, Waterford, MI 48327-4032 | 2018-05-06 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1427404482 | Carmen Sue Wisniewski | Social Worker | 2805 Pontiac Lake Rd, Waterford, MI 48328-2680 | 2016-05-09 |
| 1003288820 | Kiley J Young | Social Worker | 11 Boston Post Rd, Waterford, CT 06385-2401 | 2015-10-21 |
| 1366835688 | Cheri Hope Pierce | Social Worker | 7045 Reed Dr, Waterford, MI 48327-1580 | 2015-03-11 |
| 1992132658 | Laclinda Bahea Duncan | Social Worker | 1760 Crescent Lake Road #220, Waterford, MI 48327 | 2013-09-26 |
| 1790126357 | Raquel Marie Coulter | Social Worker | 6372 Dellwood Dr, Waterford, MI 48329-3128 | 2013-07-11 |
| Find all providers in WATERFORD | ||||
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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.