HEATHER CARROLL (NPI# 1891239414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891239414 |
| Entity Type | Individual |
| Full Name | HEATHER CARROLL |
| Practice Address |
287 Middlesex Ave Medford MA 02155-5056 |
| Mailing Address |
101 Tremont St Fl 6 Boston MA 02108-5004 |
| Practice Telephone | 7812223033 |
| Practice Fax Number | 7812819927 |
| Mailing Telephone | 6178045981 |
| Mailing Fax Number | 6177017740 |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1875 | NH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
115365 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497165 | Heather Jo Carroll | Occupational Therapist | 5021 Mercer University Dr Ste D2, Macon, GA 31210-6228 | 2018-05-14 |
| 1902246689 | Heather Elizabeth Carroll | Internal Medicine | 4100 Park Forest Dr Ste 208, Traverse City, MI 49684-7306 | 2013-06-26 |
| 1912033101 | Heather Carroll | Massage Therapist | 1241 E River Rd, Avon, NY 14414-9539 | 2007-02-24 |
| 1396301826 | Heather Elizabeth Carroll | Counselor | 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 | 2019-05-09 |
| 1023550704 | Heather Nicole Carroll | Nurse Practitioner | 75 Pringle Way, Suite 512, Reno, NV 89502-1464 | 2016-11-10 |
| 1366802209 | Heather Carroll | Psychologist | 2075 W Big Beaver Rd, Suite 520, Troy, MI 48084-3407 | 2016-03-04 |
| 1689071367 | Heather Colleen Carroll | Specialist/Technologist | 2937 S Brentwood Blvd, Brentwood, MO 63144-2713 | 2014-11-25 |
| 1346649688 | Heather Carroll | Assisted Living Facility | 430 E Cleveland Rd, Granger, IN 46530-5624 | 2014-08-21 |
| 1750661260 | Heather Carroll | Nurse Practitioner | 140 Main St, Prospect Hill, NC 27314-9436 | 2011-08-29 |
| 1376853184 | Heather Anne Carroll | Occupational Therapist | 1008 Hwy 25 B, Heber Springs, AR 72543 | 2010-10-14 |
| Street Address |
287 MIDDLESEX AVE |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-5056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336120815 | Nancy Cibotti Granof | Internal Medicine | 287 Middlesex Ave, Medford, MA 02155-5056 | 2005-11-10 |
| 1255842936 | Iora Health Massachusetts, P.C. | Internal Medicine | 287 Middlesex Ave, Medford, MA 02155-5056 | 2017-10-20 |
| 1487024832 | Iora Health, Inc | Internal Medicine | 287 Middlesex Ave, Medford, MA 02155-5056 | 2015-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| 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 |
|---|---|---|---|---|
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1962053348 | Monica Lorraine Schlie | Social Worker | 18 Forrest Ave, Medford, NY 11763-2609 | 2019-09-26 |
| 1578129623 | Patricia M Sullivan | Social Worker | 29 Welgate Rd, Medford, MA 02155-2150 | 2019-05-14 |
| 1013483841 | Howard David Harris | Social Worker | 259 Park St - Apt. 2, Medford, MA 02155-2666 | 2018-10-19 |
| 1871078469 | Lorraine Lafata | Social Worker | 14 Kilsyth Rd Fl 1, Medford, MA 02155-6522 | 2018-09-28 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1184108292 | Nancy Ann Woodfork | Social Worker | 3600 Mystic Valley Pkwy Apt W315, Medford, MA 02155-5741 | 2018-09-24 |
| 1295218758 | Julia Dennon Wise | Social Worker | 17 Wyman St, Medford, MA 02155-3401 | 2018-09-11 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1932680840 | Shreya Bansal | Social Worker | 3920 Mystic Valley Pkwy Apt 602, Medford, MA 02155-6907 | 2018-08-28 |
| Find all providers in MEDFORD | ||||
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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.