JOHN REARDON (NPI# 1982008231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982008231 |
| Entity Type | Individual |
| Full Name | JOHN REARDON |
| Credential | LICSW |
| Practice Address |
134 Thurbers Ave Providence RI 02905-4754 |
| Practice Telephone | 4013311350 |
| Practice Fax Number | 4012773366 |
| Mailing Telephone | 4013311350 |
| Mailing Fax Number | 4012773366 |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2014-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW02479 | RI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467767533 | John M Reardon | Pharmacist | 513 Perry Hwy, Pittsburgh, PA 15229-1820 | 2010-08-13 |
| 1245350875 | John Clarence Reardon II | Chiropractor | 419 Main St # 312, Huntington Beach, CA 92648-5199 | 2007-03-29 |
| 1336246057 | John Foran Reardon | Dentist | 333 Main St N, Suite 111, Stillwater, MN 55082-5098 | 2006-09-17 |
| 1497938807 | John Michael Reardon | Psychologist | 2501 Capehart Rd, Bellevue, NE 68123 | 2007-12-07 |
| 1679786354 | John Edward Reardon | Internal Medicine | 4145 Carmichael Road, Montgomery Cancer Center, Montgomery, AL 36106-2803 | 2007-05-08 |
| Street Address |
134 THURBERS AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-4754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073546297 | Rebecca Lynne Collins | Occupational Therapist | 134 Thurbers Ave, C/o Family Service of Ri, Providence, RI 02905-4754 | 2006-07-09 |
| 1609474261 | Alyssa Loberti | Speech-Language Pathologist | 134 Thurbers Ave, Providence, RI 02905-4754 | 2020-10-15 |
| 1093313819 | Victoria Leeann Dekoatz | Speech-Language Pathologist | 134 Thurbers Ave, Providence, RI 02905-4754 | 2020-10-14 |
| 1780228825 | Shannon Cain Lynch | Social Worker | 134 Thurbers Ave, Providence, RI 02905-4754 | 2019-11-01 |
| 1649827890 | Jessie Ortiz | Social Worker | 134 Thurbers Ave, Providence, RI 02905-4754 | 2019-08-22 |
| 1689232456 | Mary C Craven | Counselor | 134 Thurbers Ave, Providence, RI 02905-4754 | 2019-06-05 |
| 1689035701 | Nahdee Bedee Goe | Social Worker | 134 Thurbers Ave, Suit 102, Providence, RI 02905-4754 | 2016-03-17 |
| 1093111247 | Robert Robillard Jr. | Counselor | 134 Thurbers Ave, Providence, RI 02905-4754 | 2014-11-17 |
| 1932508082 | Kathryn Cormier | Specialist | 134 Thurbers Ave, Suite 220a, Providence, RI 02905-4754 | 2014-08-14 |
| 1487061826 | Erica Mitchell | Social Worker | 134 Thurbers Ave, Providence, RI 02905-4754 | 2014-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 | 02905 |
Please comment or provide details below to improve the information on JOHN REARDON.
| 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.