COUNSELING & ASSESSMENT CLINIC OF WORCESTER, LLC


Address: 38 Front St, 5th Floor, Worcester, MA 01608-1732
Phone: 5087565499

COUNSELING & ASSESSMENT CLINIC OF WORCESTER, LLC (NPI# 1134578719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134578719
Entity Type Organization
Organization Name COUNSELING & ASSESSMENT CLINIC OF WORCESTER, LLC
Practice Address 38 Front St
5th Floor
Worcester
MA 01608-1732
Practice Telephone 5087565499
Practice Fax Number 5087565433
Mailing Telephone 5087565499
Mailing Fax Number 5087565433
Enumeration Date 2016-06-06
Last Update Date 2016-06-06
Authorized Official Name DR. JENNIFER J HYLTON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 5087565400
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 4CKZ MA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
MA 1894196 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1528518875 Counseling & Assessment Clinic of Worcester, LLC Case Management 38 Front St, Worcester, MA 01608-1732 2016-10-11

Office Location

Street Address 38 FRONT ST
5TH FLOOR
City WORCESTER
State MA
Zip Code 01608-1732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467902577 Samantha Bilskis Social Worker 38 Front St, 5th Floor, Worcester, MA 01608-1732 2016-10-12
1528518875 Counseling & Assessment Clinic of Worcester, LLC Case Management 38 Front St, Worcester, MA 01608-1732 2016-10-11
1508230574 Karen Germaine Counselor 38 Front St, Worcester, MA 01608-1732 2015-11-13
1346619228 Kelly Mcintyre Counselor 38 Front St, Worcester, MA 01608-1732 2015-09-21
1467852277 Angela Vangerven Social Worker 38 Front St, Worcester, MA 01608-1732 2014-08-28
1235542952 William Adu-boahen Counselor 38 Front St, 5th Floor, Worcester, MA 01608-1732 2014-06-10
1679994255 Merilyn Delgado Social Worker 38 Front St, 5th Floor, Worcester, MA 01608-1732 2013-12-26
1457797730 Lindsay Boyd Social Worker 38 Front St, 5th Floor, Worcester, MA 01608-1732 2013-05-14
1235574773 Counseling and Assessment Clinic of Worcester Community/Behavioral Health 38 Front St, 5th Floor, Worcester, MA 01608-1732 2013-05-09
1942582218 Kristen Hagopian Social Worker 38 Front St, 5th Floor, Worcester, MA 01608-1732 2011-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033721733 Rebecca Smith Morgan Physical Therapist Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 2020-08-24
1083244057 Marc Labb Counselor 25 Union St 3rd Floor, Worcester, MA 01608 2020-01-18
1154974145 Shanil Shah Student in an Organized Health Care Education/Training Program St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 2019-07-19
1194377069 Varun Kommalapati Student in an Organized Health Care Education/Training Program St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 2019-07-11
1992361182 Jenna Recko Physical Therapy Assistant Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 2019-05-14
1619452646 Kara Thompson Registered Nurse 100 Martin Luther King Jr Blvd, Worcester, MA 01608 2018-09-25
1427555325 Baran Umut Vardar Student in an Organized Health Care Education/Training Program 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 2018-04-09
1609380765 Mary Elizabeth O'donnell Occupational Therapist Easter Seals Ma, 484 Main Street, Worcester, MA 01608 2017-11-28
1093227316 Oasis Home Care, LLC Home Health 340 Main St Ste 803, Worcester, MA 01608 2017-10-26
1912437500 Peter A Rondon Social Worker 11 Sycamore Street, Worcester, MA 01608 2017-06-15
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275132458 Autism Behavioral & Therapeutic Services Community/Behavioral Health 5 Bedford Ave, Worcester, MA 01604-4707 2020-10-20
1811502966 R.e.s.t. Counseling Services, LLC Community/Behavioral Health 36 Tirrell St # 1, Worcester, MA 01603-2617 2020-09-14
1841820313 On Watch Counseling Services Community/Behavioral Health 316 Plantation St, Worcester, MA 01604-1745 2020-01-23
1194389304 Autism Therapy & Training Services Community/Behavioral Health 1 Longwood Ave, Worcester, MA 01606-3416 2019-04-24
1265909360 Autism Health Services LLC Community/Behavioral Health 5 Nathaniel St, Worcester, MA 01604-1524 2018-10-26
1144733056 Tamami Amara Okano Community/Behavioral Health 500 Massasoit Rd # 2, Worcester, MA 01604-3548 2017-11-14
1346794831 Abiworcester, LLC Community/Behavioral Health 133 Puritan Ave, Worcester, MA 01604-3230 2016-08-12
1730553124 H.r.i. Clinics Inc - (worcester Location) Community/Behavioral Health 411 Chandler St., Arbour Counseling Services Partial Hospital Lization Pr, Worcester, MA 01602 2015-11-23
1811389901 Autism Intervention Center Community/Behavioral Health 2 Naumaan Ln, Worcester, MA 01606-1274 2015-02-26
1851780316 Families Together LLC Community/Behavioral Health 120 Chandler St # 2l, Worcester, MA 01609-2923 2015-01-21
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Competitor

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City WORCESTER
Zip Code 01608

Improve Information

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Dataset Information

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.

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