MS. KIMBERLY ELLYN COHEN WASSERMAN (NPI# 1124258348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124258348 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY ELLYN COHEN WASSERMAN |
| Credential | LCSW |
| Practice Address |
99 Central Ave Ashland OR 97520-1787 |
| Mailing Address |
900 E Main St Medford OR 97504-7136 |
| Practice Telephone | 5414829741 |
| Practice Fax Number | 5414886141 |
| Mailing Telephone | 5412006854 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L2754 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487634655 | Kimberly L Wasserman | Psychologist | 103 S High St, Ste 7, West Chester, PA 19382-3262 | 2006-01-22 |
| Street Address |
99 CENTRAL AVE |
| City | ASHLAND |
| State | OR |
| Zip Code | 97520-1787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370391 | Diane C. Williams | Pediatrics | 99 Central Ave, Ashland, OR 97520-1787 | 2005-10-17 |
| 1164083473 | Mele Vaa | Interpreter | 99 Central Ave, Ashland, OR 97520-1787 | 2019-06-26 |
| 1083279723 | Laura Buckley | Physician Assistant | 99 Central Ave, Ashland, OR 97520-1787 | 2019-05-08 |
| 1326333519 | Chad Michael Brown | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2011-06-15 |
| 1922302066 | Tod Alan Vogel | Counselor | 99 Central Ave, Ashland, OR 97520-1787 | 2011-01-04 |
| 1992033070 | Rachel Cristine Klein | Nurse Practitioner | 99 Central Ave, Ashland, OR 97520-1787 | 2009-11-30 |
| 1538229927 | Jean A Keevil | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2006-12-08 |
| 1306953476 | Richard L Morris | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2006-08-24 |
| 1558371435 | Daniel Matthew Weiner | Family Medicine | 99 Central Ave, Ashland, OR 97520-1787 | 2006-08-09 |
| 1821035031 | Susan B Slattery | Nurse Practitioner | 99 Central Ave, Ashland, OR 97520-1787 | 2006-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390435 | Susan Kathleen Phelps | Massage Therapist | 280 E. Hersey St., Suite B17, Ashland, OR 97520 | 2020-06-08 |
| 1891276101 | William Charles Southworth | Internal Medicine | 866 Blaine St.., Ashland, OR 97520 | 2018-08-24 |
| 1326545625 | Daniel Jordan Decillis | Dentist | 1144 Iowa St Ste A, Ashland, OR 97520 | 2018-04-12 |
| 1730690959 | Eleyah Knight | Acupuncturist | 850 Siskyou Blvd. #6, Ashland, OR 97520 | 2017-10-15 |
| 1881117752 | Elizabeth Kristine Follett | Speech-Language Pathologist | 3265 Biddle Road, Medford, OR 97520 | 2017-07-21 |
| 1457895955 | Graham Collins Inc. | Counselor | 1600 Tolman Creek Rd, Ashland, OR 97520 | 2016-12-19 |
| 1720538010 | Kate Preskenis, Lmt, LLC | Massage Therapist | 823 Siskiyou Blvd., Ashland, OR 97520 | 2016-10-11 |
| 1366899445 | Nadejda Ioana Razi Robertson | Social Worker | 246 Second Street, Ashland, OR 97520 | 2016-05-19 |
| 1225496193 | Teena Summers | Marriage & Family Therapist | 200 Ohio St., Ashland, OR 97520 | 2016-02-05 |
| 1114392016 | Amanda Rose | Doula | 2233 Villard St Apt 203, Ashland, OR 97520 | 2015-12-04 |
| Find all providers in zip 97520 | ||||
| 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 |
|---|---|---|---|---|
| 1093325581 | Stephanie Henderson | Social Worker | 301 England St # 485, Ashland, VA 23005-2109 | 2020-08-09 |
| 1669019477 | Miranda Leigh Walker | Social Worker | 913 State Route 58, Ashland, OH 44805-8815 | 2019-12-01 |
| 1992262620 | Tanya Ann Keith | Social Worker | 809 N 17th Ave, Ashland, NE 68003-1255 | 2019-02-28 |
| 1306311485 | Shonathon R Spears | Social Worker | 5900 Us Route 60 Ste B, Ashland, KY 41102-9508 | 2018-10-04 |
| 1760966394 | Eileen Patricia Slater | Social Worker | 56 Heritage Ave, Ashland, MA 01721-1085 | 2018-09-19 |
| 1174006142 | Robyn Carter | Social Worker | 20 Byron Rd, Ashland, MA 01721-2002 | 2018-09-14 |
| 1598247546 | Elena List | Social Worker | 67 Raymond Way, Ashland, MA 01721-2431 | 2018-09-05 |
| 1215423132 | Mitchell Greenblatt | Social Worker | 21 Carriage House Path, Ashland, MA 01721-1832 | 2018-07-03 |
| 1851816649 | Heather Donnenwirth | Social Worker | 1763 St. Rt 60, Suite 120, Ashland, OH 44805 | 2017-08-14 |
| 1881115061 | Jennifer R Smith | Social Worker | 1212 Bath Ave Ste 390, Ashland, KY 41101-2696 | 2017-06-28 |
| Find all providers in ASHLAND | ||||
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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.