MCCOOL PSYCHOTHERAPY LLC (NPI# 1013555820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013555820 |
| Entity Type | Organization |
| Organization Name | MCCOOL PSYCHOTHERAPY LLC |
| Practice Address |
93 Main St Ste 213 Andover MA 01810-3847 |
| Mailing Address |
4 Maple Ridge Rd Methuen MA 01844-4166 |
| Practice Telephone | 9788852278 |
| Practice Fax Number | 9786858233 |
| Mailing Telephone | 9788852278 |
| Mailing Fax Number | 9786858233 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Authorized Official Name | DEBORAH MCCOOL (OWNER) |
| Authorized Official Telephone | 9788852278 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
93 MAIN ST STE 213 |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-3847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| 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 |
|---|---|---|---|---|
| 1063022648 | Karen Sullivan | Social Worker | 52 Gray Rd, Andover, MA 01810-2219 | 2020-08-07 |
| 1154806727 | Karyn Lynn Sheehan | Social Worker | 10 Deerberry Ln, Andover, MA 01810-3254 | 2018-09-30 |
| 1568947117 | Leslie Ganley | Social Worker | 42 Washington Ave, Andover, MA 01810-1724 | 2018-09-30 |
| 1851876452 | Debra J Laquidara | Social Worker | 4 Alderbrook Rd, Andover, MA 01810-6102 | 2018-09-28 |
| 1255815338 | Sandra Marie Carroll | Social Worker | 7 Shandel Cir, Andover, MA 01810-4879 | 2018-09-24 |
| 1215411376 | Andover Social Development and Counseling Center | Social Worker | 89 N Main St Ste 3, Andover, MA 01810-3581 | 2018-09-24 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1114401445 | Rebecca R Tamasanis | Social Worker | 10 Bateson Dr, Andover, MA 01810-3402 | 2018-09-22 |
| 1669956140 | Jennifer Allen | Social Worker | 10 Johnson Rd, Andover, MA 01810-1712 | 2018-09-20 |
| 1801379011 | Amanda Degenova | Social Worker | 80 Shawsheen Rd, Andover, MA 01810-2910 | 2018-09-13 |
| Find all providers in ANDOVER | ||||
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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.