MS. JANINE FONFARA (NPI# 1124215546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124215546 |
| Entity Type | Individual |
| Full Name | MS. JANINE FONFARA |
| Credential | LCSW |
| Practice Address |
163 Broadway St Colchester CT 06415-1022 |
| Mailing Address |
112 Lafayette St Norwich CT 06360-2737 |
| Practice Telephone | 8605374601 |
| Practice Fax Number | 8605376935 |
| Mailing Telephone | 8604258735 |
| Enumeration Date | 2007-09-30 |
| Last Update Date | 2015-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004773 | CT | Behavioral Health & Social Service Providers |
| Street Address |
163 BROADWAY ST |
| City | COLCHESTER |
| State | CT |
| Zip Code | 06415-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124272 | Stephen J Kaye | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2005-09-15 |
| 1033602230 | Micaela Rae Gobeille | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2018-06-12 |
| 1215387493 | Laura Kwon | Internal Medicine | 163 Broadway St, Colchester, CT 06415-1022 | 2016-06-17 |
| 1265855068 | Kathi Jean Karp | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2014-01-29 |
| 1427308105 | Alexandra Anna Sadanowicz | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2012-09-11 |
| 1033489984 | Backus Health Centers | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2012-01-10 |
| 1891072757 | Community Medical Partners, Inc. | Colon & Rectal Surgery | 163 Broadway St, Colchester, CT 06415-1022 | 2011-11-07 |
| 1487869442 | Colchester Eye Care, LLC | Optometrist | 163 Broadway St, Colchester, CT 06415-1022 | 2007-05-13 |
| 1700962040 | Conncare Inc | Nurse Practitioner | 163 Broadway St, Colchester, CT 06415-1022 | 2006-10-30 |
| 1982706990 | Laura C Popeleski | Physician Assistant | 163 Broadway St, Colchester, CT 06415-1022 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225553571 | Coleman Pediatric Therapy LLC | Occupational Therapist | 155 Boretz Rd, Colchester, CT 06415 | 2017-08-08 |
| 1811346224 | Katie Coleman | Occupational Therapist | 155 Boretz Road, Colchester, CT 06415 | 2016-06-07 |
| 1104217637 | Beyond Autism Counseling Services and Supportive Guidance | Community/Behavioral Health | 85 Broadway Street, Colchester, CT 06415 | 2015-02-05 |
| 1235488701 | Jennifer Grandpre | Physical Therapist | 7 Park Avenue Suite 4, Colchester, CT 06415 | 2012-08-30 |
| 1174781660 | Mark Cahill | Acupuncturist | 79b Norwich Ave, Colchester, CT 06415 | 2008-05-30 |
| 1417166232 | Shelly Lynn Ceceri | Physical Therapy Assistant | 59 Harirington Court, Colchester, CT 06415 | 2007-05-21 |
| 1134341142 | Susan Gene Pugatch | Physical Therapist | 59 Harrington Court, Colchester, CT 06415 | 2007-05-02 |
| 1669699377 | Janice K. Loomis | Marriage & Family Therapist | 244 South Main St, Colchester, CT 06415 | 2007-04-20 |
| 1952439176 | Dona Gioco Hoff | Social Worker | 139 Mill Hill Rd, Colchester, CT 06415 | 2007-03-01 |
| 1194875294 | Mary-margaret Ellen Freier | Psychologist | 4 Van Cedarfield Rd., Colchester, CT 06415 | 2007-01-11 |
| Find all providers in zip 06415 | ||||
| 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] |
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|---|---|---|---|---|
| 1548874555 | Bryan Wilkinson | Social Worker | 123 Meadow Dr, Colchester, VT 05446-6422 | 2020-09-08 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1366087488 | Sunrise Supportive Counseling LLC | Social Worker | 133 Blakely Rd Ste 210, Colchester, VT 05446-3984 | 2019-11-13 |
| 1023661279 | Uplift Counseling and Emdr, Plc | Social Worker | 133 Blakely Rd Ste 208, Colchester, VT 05446-3984 | 2019-07-17 |
| 1215325097 | Jennifer Staehly | Social Worker | 276 S Main St, Colchester, CT 06415-2952 | 2015-01-02 |
| 1609123934 | Melanie Gail Hathaway | Social Worker | 100 Linwood Ave Fl 1, Colchester, CT 06415-1138 | 2012-08-06 |
| 1437446119 | Shelly L Polo | Social Worker | 87 Broadway St Ste 1, Colchester, CT 06415-1057 | 2011-07-01 |
| 1700116597 | Cynthia Sands Tutrone Randolph | Social Worker | 79 Midland Dr, Colchester, CT 06415-1320 | 2009-12-30 |
| 1205024619 | Ajus K. Ninan | Social Worker | 119 Midland Dr, Colchester, CT 06415-1320 | 2007-10-10 |
| 1164563177 | Naomi P. Shapiro | Social Worker | 29 Ethan Allen Ave, Colchester, VT 05446-3305 | 2007-02-11 |
| Find all providers in COLCHESTER | ||||
| City | COLCHESTER |
| Zip Code | 06415 |
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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.