MR. EDWIN G TAETSCH (NPI# 1164445581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164445581 |
| Entity Type | Individual |
| Full Name | MR. EDWIN G TAETSCH |
| Credential | LCSW |
| Practice Address |
21 Montauk Ave New London CT 06320-4906 |
| Practice Telephone | 8604396400 |
| Mailing Telephone | 8604396400 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9037 | CT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
2002025562 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 469004813 | 05 | |
| CT | 008065427 | 05 | |
| MO | 200912137 | 05 |
| Street Address |
21 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215909379 | Stephen Glenn Vance | Psychiatry & Neurology | 21 Montauk Ave, New London, CT 06320-4906 | 2006-02-03 |
| 1982189056 | Cassandra M Rice | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2018-09-25 |
| 1114421765 | Sarah Bochet | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2018-03-20 |
| 1356841415 | Madena Lynn Lewis | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320 | 2018-02-15 |
| 1336655240 | Peggy Nelson | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2017-12-15 |
| 1417469446 | Glorimar Anderson | Social Worker | 21 Montauk Ave, New London, CT 06320 | 2017-10-31 |
| 1295189389 | Kevin M Messier | Pharmacist | 21 Montauk Ave, Suite 102, New London, CT 06320-4906 | 2016-04-15 |
| 1821464017 | Ellen Louise Sollazzo | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320-4906 | 2015-08-11 |
| 1275918732 | Rachael Mullen | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2015-07-27 |
| 1982091781 | Bryan D Mccloskey | Counselor | 21 Montauk Ave, New London, CT 06320-4906 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| 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 |
|---|---|---|---|---|
| 1750856340 | Reed Therapy, LLC | Social Worker | 400 Bayonet St Ste 202, New London, CT 06320-2600 | 2018-10-10 |
| 1184124414 | Toni C Perry, Lcsw, LLC | Social Worker | 883 Montauk Ave Apt 2, New London, CT 06320-4238 | 2018-02-13 |
| 1033620679 | Elizabeth Allen | Social Worker | 106 Truman St, New London, CT 06320-5680 | 2017-10-23 |
| 1528502457 | Dianna Rodriguez | Social Worker | One Shaw's Cove, New London, CT 06320-6302 | 2016-12-12 |
| 1538612239 | Willow Creek Counseling LLC | Social Worker | 17 Ash Street, New London, MN 56273 | 2016-07-28 |
| 1477927739 | Chelsea Culbert | Social Worker | 464 Ocean Ave, New London, CT 06320-4544 | 2015-11-23 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1710219357 | Anne Marie Collins-reed | Social Worker | 315 River Road, New London, WI 54981 | 2010-02-08 |
| 1871827378 | December L Heffernan | Social Worker | 165 State St Ste 200, New London, CT 06320-6304 | 2009-09-30 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.