KIM SHEPARDSON WATSON (NPI# 1164534384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164534384 |
| Entity Type | Individual |
| Full Name | KIM SHEPARDSON WATSON |
| Credential | LCSW |
| Practice Address |
29 Chesterfield Rd East Lyme CT 06333 |
| Mailing Address |
Po Box 94 East Lyme CT 06333 |
| Practice Telephone | 8607396974 |
| Practice Fax Number | 8607395290 |
| Mailing Telephone | 8607396974 |
| Mailing Fax Number | 8607395290 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 002624 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004255875 | 05 |
| Street Address |
29 CHESTERFIELD RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396995288 | Janet Katherine Woronick | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333-1202 | 2008-09-26 |
| 1780809640 | Kelly Forbes Rogers | Psychologist | 29 Chesterfield Rd, East Lyme, CT 06333-0094 | 2007-04-16 |
| 1306941075 | Sylvia Rasie | Clinical Nurse Specialist | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-14 |
| 1700980851 | Nancy A Randall | Psychologist | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-11 |
| 1477657880 | Judith A Crotty | Counselor | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-08 |
| 1154424711 | Donald W Mcintyre | Psychologist | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-07 |
| 1821100041 | Patricia A Martin | Counselor | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| 1326460031 | Chiro2go LLC | Chiropractor | 183 Boston Post Rd, East Lyme, CT 06333 | 2014-01-15 |
| Find all providers in zip 06333 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548837 | Amy Esquivel | Social Worker | 177 Davis Ave, Greenwich, CT 06830-2731 | 2020-11-02 |
| 1417557026 | Genesis Campos | Social Worker | 35 Tower Ln Ste 202, Avon, CT 06001-4237 | 2020-11-01 |
| 1265039614 | Bernice Mckenzie | Social Worker | 4 Sodom Rd, North Franklin, CT 06254-1821 | 2020-10-07 |
| 1558968131 | Colleen M. Schmelter | Social Worker | 370 Linwood Stree, New Britain, CT 06052-1949 | 2020-10-06 |
| 1669089934 | Theresa Chriscoe | Social Worker | 110 N Water St # B, Greenwich, CT 06830-5835 | 2020-09-30 |
| 1205442753 | Nina Dorit Leventon | Social Worker | 105 Danbury Rd, Ridgefield, CT 06877-4147 | 2020-09-21 |
| 1043826860 | Jessica Rochelle Goldberg | Social Worker | 116 Morgan St Apt 44a, Stamford, CT 06905-5440 | 2020-09-17 |
| 1215542915 | Lucy Mae Evans | Social Worker | 142 East Ave Ste A, Norwalk, CT 06851-5742 | 2020-09-10 |
| 1205440120 | Lavonne Womack | Social Worker | 1325 Farmington Ave Apt 12, Bristol, CT 06010-4774 | 2020-09-08 |
| 1598379000 | Chloe Taylor Smith | Social Worker | 19 Fox Den Way, Woodbridge, CT 06525-1904 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIM SHEPARDSON WATSON.
| 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.