BLACK & MENTAL HEATLH, LLC (NPI# 1881216968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881216968 |
| Entity Type | Organization |
| Organization Name | BLACK & MENTAL HEATLH, LLC |
| Practice Address |
96 Silver Ln Apt B7 East Hartford CT 06118-1006 |
| Practice Telephone | 2035363199 |
| Mailing Telephone | 2035363199 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | JAYANN L PINTO-SAMUDA (THERAPIST) |
| Authorized Official Telephone | 2035363199 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
96 SILVER LN APT B7 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457909665 | Theresa R Gardener | Home Health Aide | 38 Footpath Lane, East Hartford, CT 06118 | 2019-08-30 |
| 1841761731 | Zoey Walker | Nurse Practitioner | 281/287 Main Street, East Hartford, CT 06118 | 2018-12-17 |
| 1487147419 | Nesti Risto | Pharmacist | 940 Silver Lane, East Hartford, CT 06118 | 2018-06-13 |
| 1497022578 | Gifty Oteng | Pharmacist | 46 Fowler Ln, East Hartford, CT 06118 | 2011-11-17 |
| 1972556165 | Hartford Headache Center, LLC | Nurse Practitioner | 144 Main Street, Suite D, East Hartford, CT 06118 | 2006-05-18 |
| 1689636045 | Richard E Amaral | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2006-04-03 |
| 1447789839 | Gino Zaccardelli | Pharmacist | 16 Main St, East Hartford, CT 06118 | 2017-06-08 |
| 1881067247 | Christina Morrissey | Nurse Practitioner | 281 Main St, East Hartford, CT 06118 | 2015-11-07 |
| 1871961052 | Christina Marchitto | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2015-09-04 |
| 1942592514 | Chad Mcdonald | Family Medicine | 281 Main St, East Hartford, CT 06118 | 2011-05-13 |
| Find all providers in zip 06118 | ||||
| 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 |
|---|---|---|---|---|
| 1952912313 | Alexis Mohammed | Social Worker | 66 Pheasant Ln, East Hartford, CT 06108-1032 | 2020-08-11 |
| 1649892084 | Open Space Therapy LLC | Social Worker | 28 Higbie Dr, East Hartford, CT 06108-2840 | 2020-05-07 |
| 1316584956 | Michelle Marie Wortham | Social Worker | 905 Burnside Ave Apt C19, East Hartford, CT 06108-2719 | 2019-12-02 |
| 1154983229 | Nicole Osborne | Social Worker | 94 Conn Blvd, East Hartford, CT 06108-3013 | 2019-06-28 |
| 1356769582 | Priscilla Pandozzi | Social Worker | 29 Willowbrook Rd, East Hartford, CT 06118-1842 | 2014-04-04 |
| 1316376635 | Colinda K. Hunter | Social Worker | 239 Burnham St, East Hartford, CT 06108-1131 | 2013-11-06 |
| 1619219243 | Latif & Mushtaq LLC | Social Worker | 585 Burnside Ave, East Hartford, CT 06108-3537 | 2013-03-21 |
| 1003198094 | Sheila Ann Bridges-howard | Social Worker | 588 Silver Ln, East Hartford, CT 06118-1103 | 2011-09-15 |
| 1184952459 | Ursula Ann Jackson | Social Worker | 450 Forbes St, East Hartford, CT 06118-1716 | 2009-11-25 |
| 1346489952 | Center of Attention, LLC | Social Worker | 49 Connecticut Boulevard, Suite 6, East Hartford, CT 06108 | 2009-02-05 |
| Find all providers in EAST HARTFORD | ||||
| City | EAST HARTFORD |
| Zip Code | 06118 |
Please comment or provide details below to improve the information on BLACK & MENTAL HEATLH, LLC.
| 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.