TEESHA MARIE CARRASQUILLO (NPI# 1164029971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164029971 |
| Entity Type | Individual |
| Full Name | TEESHA MARIE CARRASQUILLO |
| Credential | LCSW |
| Practice Address |
100 South St Southbridge MA 01550-4051 |
| Mailing Address |
100 South St Vernon Rockville CT 06066-4404 |
| Practice Telephone | 5087659771 |
| Mailing Telephone | 5087642455 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
224497 | CT | Behavioral Health & Social Service Providers |
| Street Address |
100 SOUTH ST |
| City | SOUTHBRIDGE |
| State | MA |
| Zip Code | 01550-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089063 | John Michael Tumolo | Internal Medicine | 100 South St, Suite 104, Southbridge, MA 01550-4051 | 2005-08-09 |
| 1093316473 | Julianne Brechtl | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2020-11-03 |
| 1851927347 | Brittany Moreau | Dietitian, Registered | 100 South St, Southbridge, MA 01550-4051 | 2020-03-17 |
| 1548892326 | Kally Ann Petka | Nurse Practitioner | 100 South St, Southbridge, MA 01550-4051 | 2020-02-10 |
| 1497309694 | Laurette E Mcdonald | Registered Nurse | 100 South St, Southbridge, MA 01550-4051 | 2019-07-26 |
| 1033775697 | Cydney Weiner | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2019-05-18 |
| 1245896281 | Heather Lynn Bingham | Counselor | 100 South St, Southbridge, MA 01550-4051 | 2019-05-15 |
| 1982165056 | Imaging Consultants Inc | Clinic/Center | 100 South St, Southbridge, MA 01550-4051 | 2019-03-29 |
| 1609345099 | Alyssa Rose Mitchell | Physician Assistant | 100 South St, Southbridge, MA 01550-4051 | 2018-11-15 |
| 1134604291 | Michaela White | Dietitian, Registered | 100 South St, Southbridge, MA 01550-4051 | 2018-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726765 | Nathanael Lopez | Counselor | 328 Main St Apt #1, Southbridge, MA 01550 | 2020-09-27 |
| 1356969497 | Sarah Anne Mcnulty | Registered Nurse | Harrington Hospital, 100 South Street, Southbridge, MA 01550 | 2020-07-06 |
| 1699316406 | Adrienne Ellen Soucy | Developmental Therapist | Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 | 2019-10-02 |
| 1184101610 | Charles D Fraser | Nurse Practitioner | 657 Worcester St Apt 204, Southbridge, MA 01550 | 2018-07-26 |
| 1689160954 | Christine Ann Surrette | Nurse Practitioner | 11 Sandersdale Rd, Southbridge, MA 01550 | 2018-07-10 |
| 1528560075 | Danielle Torre Aspinwall | Physician Assistant | 100 South Street Suite 208, Southbridge, MA 01550 | 2018-03-01 |
| 1215455829 | New Beginnings of Southbridge | Marriage & Family Therapist | 146 Ashland Ave Suite B, Southbridge, MA 01550 | 2017-09-03 |
| 1902323835 | Shannon Paisley | Counselor | 328 Main St. #1, Southbridge, NY 01550 | 2017-08-22 |
| 1811300023 | Mary Dayotas | Counselor | 176 Main St., Southbridge, MA 01550 | 2014-06-05 |
| 1962752121 | You Inc | Community/Behavioral Health | 238 Main Street, Southbridge, MA 01550 | 2012-09-14 |
| Find all providers in zip 01550 | ||||
| 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 |
|---|---|---|---|---|
| 1427341239 | Jennifer Lynne Murray | Social Worker | 328 Main St Ste 2, Southbridge, MA 01550-3795 | 2011-05-26 |
| 1528109717 | Vivian Marrero Doros | Social Worker | 35 Highland St, Southbridge, MA 01550-2203 | 2007-02-09 |
| 1588710990 | Roger R Lamontagne | Social Worker | 230 Dennison Ln, Southbridge, MA 01550-2111 | 2007-01-26 |
| 1790838738 | Rea E Rabinowitz | Social Worker | 63 Everett St, Southbridge, MA 01550-2619 | 2007-01-22 |
| 1487649117 | Mary E Judd-pechie | Social Worker | 29 Pine St, Southbridge, MA 01550-1823 | 2005-09-19 |
| 1295292316 | Irina Ionkina | Social Worker | 139 South St, Southbridge, MA 01550-4032 | 2019-02-25 |
| 1831653666 | Kelly S Hutton | Social Worker | 100 Foster St, Southbridge, MA 01550-2595 | 2019-01-25 |
| 1588137178 | Amaryllis J Camas | Social Worker | 328 Main St Ste 1, Southbridge, MA 01550-3795 | 2019-01-07 |
| 1326561259 | Ashling K Kelly-keegan | Social Worker | 328 Main St, Southbridge, MA 01550-3794 | 2017-07-23 |
| 1578099032 | Ashley Lee | Social Worker | 100 South St, Southbridge, MA 01550-4051 | 2017-05-03 |
| Find all providers in SOUTHBRIDGE | ||||
| City | SOUTHBRIDGE |
| Zip Code | 01550 |
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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.