JENNIFER MARIE HOLESHA (NPI# 1023592714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023592714 |
| Entity Type | Individual |
| Full Name | JENNIFER MARIE HOLESHA |
| Credential | LMSW-CC |
| Practice Address |
797 Wilson St Brewer ME 04412 |
| Mailing Address |
797 Wilson St Brewer ME 04412-1000 |
| Practice Telephone | 2079736494 |
| Mailing Telephone | 2079736494 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-03-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC17643 | ME | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 188 Norway Rd, Bangor, ME 044015851 | 2074239399 |
| Street Address |
797 WILSON ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609921154 | Katie Olson Hilo | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2007-01-24 |
| 1215549407 | Auburn Bogart-palmisano | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2020-08-19 |
| 1720535396 | Brigitte Pratt | Physical Therapy Assistant | 797 Wilson St, Brewer, ME 04412 | 2016-09-01 |
| 1023484862 | Jennifer Griffith | Physical Therapy Assistant | 797 Wilson St, Brewer, ME 04412-1000 | 2015-08-17 |
| 1922493808 | Margaret Butterly | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2015-03-30 |
| 1720478720 | Jenna Dubord | Physical Therapy Assistant | 797 Wilson St, Brewer, ME 04412-1000 | 2015-01-28 |
| 1164831822 | Kristen Lepage | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2014-08-07 |
| 1578985248 | Joshua Glidden | Specialist | 797 Wilson St, Brewer, ME 04412-1000 | 2014-01-14 |
| 1932533262 | Bradley Libby | Specialist | 797 Wilson St, Brewer, ME 04412-1000 | 2013-08-22 |
| 1871837054 | Cory Ouellette | Physical Therapist | 797 Wilson St, Brewer, ME 04412-1000 | 2012-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| 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 |
|---|---|---|---|---|
| 1003257403 | Dustin Bernard Przybylski | Social Worker | 133 Union St, Brewer, ME 04412-2035 | 2013-07-13 |
| 1881971810 | Courtney P Mishou | Social Worker | 254 State St, Brewer, ME 04412-1519 | 2011-11-04 |
| 1700011566 | Bethany Brophy | Social Worker | 731 Wilson St, Brewer, ME 04412-1000 | 2009-05-22 |
| 1912168790 | Tracey Lee Minervino | Social Worker | 141 N Main St Ste 203, Brewer, ME 04412-2055 | 2008-06-24 |
| 1013124452 | Vauna Haza | Social Worker | 7 Holyoke St, Brewer, ME 04412-2608 | 2007-05-16 |
| 1073560819 | Laurie A Brophy | Social Worker | 46 Betton St, Suite 205, Brewer, ME 04412-2636 | 2006-05-27 |
| 1265432959 | James M Lapierre | Social Worker | 235 Center St, Brewer, ME 04412-1961 | 2005-07-26 |
| 1144828526 | Julie Reva Kominsky | Social Worker | 191 S Main St, Brewer, ME 04412-2233 | 2020-10-16 |
| 1538592787 | Daniel James Robbins | Social Worker | 235 Center St, Brewer, ME 04412-1961 | 2013-08-12 |
| 1124317441 | Jennifer Lynn Moss | Social Worker | 735 Wilson St, Brewer, ME 04412-1000 | 2011-04-07 |
| Find all providers in BREWER | ||||
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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.