MS. MARY ELLEN COUGHLIN (NPI# 1063600856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063600856 |
| Entity Type | Individual |
| Full Name | MS. MARY ELLEN COUGHLIN |
| Credential | LICSW |
| Practice Address |
805 Main St Winchester MA 01890-1907 |
| Mailing Address |
43 Fairmont St Arlington MA 02474-8717 |
| Practice Telephone | 7812151655 |
| Practice Fax Number | 7816430111 |
| Mailing Telephone | 7816430012 |
| Mailing Fax Number | 7816430111 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
111217 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467853994 | Mary Ellen Coughlin | Registered Nurse | 89 Bluff Ave, Warwick, RI 02889-2135 | 2014-09-16 |
| Street Address |
805 MAIN ST |
| City | WINCHESTER |
| State | MA |
| Zip Code | 01890-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821516436 | Emily Elizabeth Blake | Dietitian, Registered | 107 Cross St Unit A, Winchester, MA 01890 | 2017-09-03 |
| 1750838272 | Barbara Messineo Md Othopedic Surgery and Sports Medicine | Specialist | 8 Winchester Place, Ste 102, Winchester, MA 01890 | 2016-09-01 |
| 1710235007 | Nicole Tara Dieuseul | Social Worker | 80 Skillings Rd, Winchester, MA 01890 | 2012-08-17 |
| 1043589609 | Karen Marie Caputo | Social Worker | 0 Ledgewood Road, Winchester, MA 01890 | 2011-12-27 |
| 1902110695 | Kyla Malone | Nurse Practitioner | 1021 Main St Ste 102, Winchester, MA 01890 | 2010-08-05 |
| 1073843694 | New England Pain Associates, PC | Clinic/Center | 10 Converse Place 4th Floor, Winchester, MA 01890 | 2010-01-04 |
| 1235304528 | Asthma & Allergy Specialists, PC | Clinic/Center | 955 Main St, Ste G-3, Suite G-3, Winchester, MA 01890 | 2008-04-28 |
| 1184742165 | Constance C Rosenberger | Registered Nurse | 49 Cabot St, Winchester, MA 01890 | 2007-03-27 |
| 1225164817 | Susana Cheng Lee | Social Worker | 17 Socrates Way, Winchester, MA 01890 | 2007-02-26 |
| 1538294517 | Joan M Hodges | Social Worker | 898 Main Street, Marcus Associates, Winchester, MA 01890 | 2007-02-22 |
| Find all providers in zip 01890 | ||||
| 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 |
|---|---|---|---|---|
| 1942847199 | Pauline Keshishian | Social Worker | 18 Lockeland Rd, Winchester, MA 01890-3342 | 2019-12-06 |
| 1023660859 | Hope Savolainen Wisler | Social Worker | 333 W Cork St Unit 35, Winchester, VA 22601-3897 | 2019-07-11 |
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1386117521 | Brenda Mandile | Social Worker | 18 Amberwood Dr, Winchester, MA 01890-2202 | 2019-01-10 |
| 1447734637 | Erin Kelly Ficociello | Social Worker | 11 Sawmill Brook Rd, Winchester, MA 01890-1027 | 2018-09-24 |
| 1811474638 | Zarita Araujo-lane | Social Worker | 31 Wainwright Rd, Winchester, MA 01890-2370 | 2018-07-24 |
| 1760969901 | Suzanne Marie Norton | Social Worker | 109 Skillings Rd, Winchester, MA 01890-2857 | 2018-07-20 |
| 1003300385 | Bridge To Healing Psychotherapy LLC | Social Worker | 611 Main St Ste 302e, Winchester, MA 01890-2051 | 2018-06-19 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1194235416 | Kimberly Harrison | Social Worker | 629 Cedar Creek Grade Ste C2, Winchester, VA 22601-2786 | 2017-10-02 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 01890 |
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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.