CAROL SOLDEVILLA (NPI# 1104191501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104191501 |
| Entity Type | Individual |
| Full Name | CAROL SOLDEVILLA |
| Credential | LICSW |
| Practice Address |
4 S Spooner St Plymouth MA 02360-4447 |
| Mailing Address |
362 Court St Plymouth MA 02360-4397 |
| Practice Telephone | 5086170070 |
| Mailing Telephone | 5086170070 |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2015-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
115897 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
115897 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 046002284 | 05 |
| Street Address |
4 S SPOONER ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831384502 | Amy Christine Anderson | Social Worker | 4 S Spooner St, Plymouth, MA 02360-4447 | 2007-09-06 |
| 1487299863 | Carroll Psychpharmacology, LLC | Clinic/Center | 4 S Spooner St, Plymouth, MA 02360-4447 | 2019-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568080216 | Susan Maud Greenhoe | Counselor | 13895 Industrial Park Blvd Ste 140, Plymouth, MN 55441-3712 | 2020-07-09 |
| 1396300299 | Katheryn Monahan | Counselor | 13805 53rd Ave N Apt 10, Plymouth, MN 55446-1897 | 2019-05-06 |
| 1922587294 | Dan Parker Hicks | Counselor | 1123 State Rd, Plymouth, MA 02360-5133 | 2018-08-08 |
| 1437666112 | Nancy Elliot Toellner | Counselor | 116 Long Pond Rd Ste 2&3, Plymouth, MA 02360-2663 | 2018-01-04 |
| 1457809444 | A New Direction Counseling, Inc. | Counselor | 316 W Jefferson St, Plymouth, IN 46563-1734 | 2016-09-19 |
| 1316494990 | Barbara Marie Krill | Counselor | 31 Ives Ln, Plymouth, CT 06782 | 2016-09-01 |
| 1699141549 | Cynthia Norman | Counselor | 110a Albemarle Dr, Plymouth, NC 27962-1530 | 2015-08-14 |
| 1225414741 | Rebecca Pierce | Counselor | 5200 Annapolis Ln N Apt 1204, Plymouth, MN 55446-3610 | 2015-08-06 |
| 1447687595 | Dawn King | Counselor | 1233 State Road, High Point Treatment Center, Plymouth, MA 02360 | 2013-10-03 |
| 1417223595 | Tynetta Shuntay Hunt | Counselor | 334 West Ave, Plymouth, NC 27962-2154 | 2012-03-22 |
| Find all providers in PLYMOUTH | ||||
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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.