EVAN POLAKOWSKI (NPI# 1174189260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174189260 |
| Entity Type | Individual |
| Full Name | EVAN POLAKOWSKI |
| Practice Address |
29 E Mountain St Worcester MA 01606-1400 |
| Mailing Address |
24 Bourne St Apt B Worcester MA 01606-2393 |
| Practice Telephone | 5088530556 |
| Practice Fax Number | 5088531308 |
| Mailing Telephone | 9789651827 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
29 E MOUNTAIN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669778577 | Courtney Carpenter | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2011-02-10 |
| 1962051748 | Ellen Mccauley | Student in an Organized Health Care Education/Training Program | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-09-05 |
| 1366009052 | Natasha Eve Stutsman-hubbell | Social Worker | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-05-29 |
| 1306308960 | Judith Ellen Donahue | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-04-03 |
| 1023586054 | Tamara Ann Buckley Leclerc | Peer Specialist | 29 E Mountain St, Worcester, MA 01606-1400 | 2018-11-07 |
| 1154816767 | Laura Maria Lopez | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2018-06-26 |
| 1053820779 | Rebecca Anne Zwicker | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-09-26 |
| 1093243560 | Ahmed Al Rubaye | Social Worker | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-05-30 |
| 1376078576 | Ibtisam Alsheikh | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-04-25 |
| 1558896944 | Joel Ashema | Social Worker | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
| Find all providers in zip 01606 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322784 | Margaret Karimi | Case Manager/Care Coordinator | 376 Sunderland Rd Apt 23, Worcester, MA 01604-2512 | 2019-08-22 |
| 1326692260 | Farah Gay | Case Manager/Care Coordinator | 2 Duncannon Ave Apt 11, Worcester, MA 01604-5139 | 2019-07-29 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1700149820 | Joanne Finnegan | Case Manager/Care Coordinator | 340 Main St Ste 819, Worcester, MA 01608-1665 | 2012-06-22 |
| 1851618896 | Debra A Schnare | Case Manager/Care Coordinator | 70 Elm St Ste 103, Worcester, MA 01609-2300 | 2010-04-30 |
| 1386975142 | William H Hockenhull | Case Manager/Care Coordinator | 70 Elm St, 103, Worcester, MA 01609-2300 | 2010-01-19 |
| 1871751578 | Laurie Ann Majka | Case Manager/Care Coordinator | 243 Millbury St, Worcester, MA 01610-2177 | 2008-05-29 |
| 1205998028 | Erica Elizabeth Rogan | Case Manager/Care Coordinator | 337 Main Street, Suite 320 South Bay Mental Health, Worcester, MA 01608 | 2006-12-15 |
| 1104300979 | Michelle White | Case Manager/Care Coordinator | 237 Millbury St, Worcester, MA 01610-2177 | 2018-09-18 |
| 1033617154 | Benedicta Boateng-abeka | Case Manager/Care Coordinator | 340 Main St, Worcester, MA 01608-1604 | 2018-01-23 |
| Find all providers in WORCESTER | ||||
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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.