KRISTEN CANCERAN (NPI# 1164762415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164762415 |
| Entity Type | Individual |
| Full Name | KRISTEN CANCERAN |
| Credential | LCSW-C |
| Practice Address |
8028 Ritchie Hwy Suite 310 Pasadena MD 21122-1075 |
| Practice Telephone | 4107683361 |
| Practice Fax Number | 4107683362 |
| Mailing Telephone | 4107683361 |
| Mailing Fax Number | 4107683362 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
15868 | MD | Behavioral Health & Social Service Providers |
| Street Address |
8028 RITCHIE HWY SUITE 310 |
| City | PASADENA |
| State | MD |
| Zip Code | 21122-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179104 | Vanessa Cynthia Thomas | Nurse Practitioner | 8028 Ritchie Hwy, Ste 210, Pasadena, MD 21122-1075 | 2005-07-27 |
| 1316395783 | Fc Dialysis Holding Lle | Clinic/Center | 8028 Ritchie Hwy, Pasadena, MD 21122-1075 | 2016-05-26 |
| 1992185250 | Timothy Wayne Griffith | Social Worker | 8028 Ritchie Hwy, Suite 308, Pasadena, MD 21122-1075 | 2015-06-02 |
| 1790164630 | Carla Alpheus-bernard | Nurse Practitioner | 8028 Ritchie Hwy, Pasadena, MD 21122-1075 | 2015-05-26 |
| 1902283682 | National Rehabilitation Hospital, Inc. | Physical Therapist | 8028 Ritchie Hwy, Suite 120, Pasadena, MD 21122-1075 | 2015-05-01 |
| 1356746952 | Associated Psychotherapists | Clinic/Center | 8028 Ritchie Hwy, Suite 308, Pasadena, MD 21122-1075 | 2014-10-27 |
| 1952741019 | Ms-hc, LLC | Non-Pharmacy Dispensing Site | 8028 Ritchie Hwy, Suite 207, Pasadena, MD 21122-1075 | 2013-07-03 |
| 1083955009 | James Raleigh Sims Jr. | Pharmacist | 8028 Ritchie Hwy, Suite 314, Pasadena, MD 21122-1075 | 2013-03-15 |
| 1497096481 | Cynthia Marie Jeffries | Pharmacist | 8028 Ritchie Hwy, Pasadena, MD 21122-1075 | 2013-03-15 |
| 1225384811 | George A. Williamson Md Pa | Obstetrics & Gynecology | 8028 Ritchie Hwy, Suite 309, Pasadena, MD 21122-1075 | 2012-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889211 | Hyunji Lee | Pharmacist | 8107 Governor Ritchie Highway, Pasadena, MD 21122 | 2020-10-25 |
| 1538712625 | Liri Fusha | Clinic/Center | 8221 Richie Hwy Suit #102, Pasadena, MD 21122 | 2019-07-18 |
| 1730649922 | Barrett Arthur Tollenger | Counselor | 2825 Mountain Road, Suite 204, Pasadena, MD 21122 | 2019-03-22 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1366916553 | Brittney Byrd | Behavior Technician | 7759 Middlegate Ct, Pasadena, MD 21122 | 2019-01-22 |
| 1780154310 | Amanda Ann Zeller | Speech-Language Pathologist | 8515 Jenkins Road, Pasadena, MD 21122 | 2018-11-27 |
| 1225531544 | Anne Arundel-sca Surgicenter, LLC | Clinic/Center | 8109 Ritchie Hwy Ste 250, Pasadena, MD 21122 | 2018-03-13 |
| 1629577424 | Anne Arundel Physician Group, LLC | Obstetrics & Gynecology | 18 Magothy Beach Road Suite A, Pasadena, MD 21122 | 2018-02-07 |
| 1063968261 | Chinedu Ikpemo | Pharmacist | 8051 Fort Smallwood Rd, Pasadena, MD 21122 | 2016-08-28 |
| 1053728634 | Wisecare, LLC | Clinic/Center | 33 Magothy Beach Rd, Suite 102-103, Pasadena, MD 21122 | 2014-07-16 |
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| 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 |
|---|---|---|---|---|
| 1013524362 | Abigail Resendiz-zuniga | Social Worker | 459 E Colorado Blvd, Pasadena, CA 91101-2024 | 2020-09-29 |
| 1689287948 | Chris and Glorias Space LLC | Social Worker | 1055 E Colorado Blvd Ste 5198, Pasadena, CA 91106-2327 | 2020-08-26 |
| 1306458260 | Jennifer C Kerr | Social Worker | 1417 N Mentor Ave, Pasadena, CA 91104-2427 | 2020-08-20 |
| 1427518893 | Maricel Veluz | Social Worker | 595 E Colorado Blvd Ste 612b, Pasadena, CA 91101-2015 | 2019-03-22 |
| 1770041436 | Leticia C Lara | Social Worker | 236 W Mountain St Ste 201, Pasadena, CA 91103-2969 | 2019-03-12 |
| 1861966897 | Cynthia Clark Hunter | Social Worker | 130 S Euclid Ave Ste 3, Pasadena, CA 91101-2471 | 2019-01-12 |
| 1295202422 | Stephanie Rose Van | Social Worker | 440 S Marengo Ave, Pasadena, CA 91101-3113 | 2018-10-25 |
| 1932681723 | Tracey Bush | Social Worker | 393 E Walnut St Fl 64w196, Pasadena, CA 91188-0001 | 2018-08-29 |
| 1548759269 | Katrin Lynn Koutassevitch | Social Worker | 200 E Del Mar Blvd Ste 119a, Pasadena, CA 91105-2551 | 2018-05-08 |
| 1063919751 | Paris Silva | Social Worker | 1165 E Claremont St, Pasadena, CA 91104-2906 | 2018-04-09 |
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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.