CARLY SEARY INKPEN (NPI# 1932622875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932622875 |
| Entity Type | Individual |
| Full Name | CARLY SEARY INKPEN |
| Credential | LCSW |
| Practice Address |
675 Main St Waltham MA 02451-0602 |
| Mailing Address |
11 Chapel Pl Wellesley MA 02481-3130 |
| Practice Telephone | 7818932003 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
000222481 | MA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Chapel Pl, Wellesley, MA 024813130 | 7812354950 |
| Street Address |
675 MAIN ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-0602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982280 | Soraya A Paultre | Counselor | 675 Main St, Waltham, MA 02451-0602 | 2020-05-05 |
| 1760018949 | Rachael Goldfarb | Counselor | 675 Main St, Waltham, MA 02451-0602 | 2020-03-19 |
| 1194362962 | Simone J Albeck | Social Worker | 675 Main St, Waltham, MA 02451-0602 | 2019-11-29 |
| 1851946461 | Quinn Duncan Somerside | Counselor | 675 Main St, Waltham, MA 02451-0602 | 2019-08-09 |
| 1487129821 | Samantha Paige Reif | Social Worker | 675 Main St, Waltham, MA 02451-0602 | 2018-10-12 |
| 1629552450 | Abigail Hammond | Social Worker | 675 Main St, Waltham, MA 02451-0602 | 2018-09-18 |
| 1790263762 | Mary Bailey-edwards | Social Worker | 675 Main St, Waltham, MA 02451-0602 | 2018-08-01 |
| 1659860385 | William Murphy | Counselor | 675 Main St, Waltham, MA 02451-0602 | 2018-05-08 |
| 1518401496 | Karissa Soby | Counselor | 675 Main St, Waltham, MA 02451-0602 | 2016-12-12 |
| 1912359985 | Amy Saunders | Counselor | 675 Main St, Waltham, MA 02451-0602 | 2016-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| 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 |
|---|---|---|---|---|
| 1760082945 | Natalie Pierpont Waggaman | Social Worker | 34 Hamilton Rd, Waltham, MA 02453-1516 | 2020-10-28 |
| 1528527033 | Kelly Fanty | Social Worker | 355 Waverly Oaks Rd Ste 100, Waltham, MA 02452-8480 | 2019-03-14 |
| 1578035721 | Sarah Elizabeth Teeven | Social Worker | 17 Linden Park Dr, Waltham, MA 02452-6216 | 2018-12-28 |
| 1588132682 | Lee Ann Walker Lowe | Social Worker | 99 Bright St # 2, Waltham, MA 02453-6580 | 2018-11-06 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1699240606 | Ronda Marie Randazzo | Social Worker | 309 Waverly Oaks Rd, Waltham, MA 02452-8443 | 2018-10-05 |
| 1518442870 | Jody O Gastfriend | Social Worker | 77 4th Ave, Waltham, MA 02451-7559 | 2018-10-02 |
| 1356826614 | Jill Mcnamara | Social Worker | 77 4th Ave Ste 500, Waltham, MA 02451-7559 | 2018-10-02 |
| 1124503792 | Janet Louise Mason | Social Worker | 88 Fuller St, Waltham, MA 02453-5841 | 2018-09-30 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| Find all providers in WALTHAM | ||||
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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.