AMY SEDGWICK (NPI# 1184955304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184955304 |
Entity Type | Individual |
Full Name | AMY SEDGWICK |
Credential | LADC, CCDP, SCPG |
Practice Address |
62 Carter Rd Kent CT 06757-0675 |
Mailing Address |
62 Carter Road Kent CT 06757 |
Practice Telephone | 8609273772 |
Practice Fax Number | 8609271840 |
Mailing Telephone | 8609273772 |
Enumeration Date | 2010-01-28 |
Last Update Date | 2020-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0862 | CT | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SA- 0215 | CT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004257516 | 05 | |
CT | 008031626 | 05 | |
CT | 004123840 | 05 | |
CT | 008017939 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366510208 | Amy C Sedgwick | Emergency Medicine | 50 Foden Rd, Suite 3, South Portland, ME 04106-1718 | 2006-11-30 |
Street Address |
62 CARTER RD |
City | KENT |
State | CT |
Zip Code | 06757-0675 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144631037 | Sarah E Williamson | Psychiatry & Neurology | 62 Carter Rd, Kent, CT 06757-2740 | 2014-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831544030 | Samantha K Case | Social Worker | 62 Carter Road, Kent, CT 06757 | 2016-04-26 |
1639545015 | Stephanie Mauri | Dental Hygienist | 8 Green Pastures Ln, Kent, CT 06757 | 2015-08-19 |
1275946881 | High Watch Recovery Center | Substance Abuse Rehabilitation Facility | 62 Carter Rd., Kent, CT 06757 | 2014-06-11 |
1538592225 | Mary E. Smith Bowen | Licensed Practical Nurse | 46 Maple St, The Kent, Kent, CT 06757 | 2013-08-16 |
1629390620 | Kent Volunteer Fire Department, Inc. | Ambulance | 28 Maple St., Kent, CT 06757 | 2010-02-18 |
1407021959 | Gayle Pantaleo | Social Worker | 17 Old Barn Road, Kent, CT 06757 | 2008-04-25 |
1891992160 | Margaret Farley Mcmorrow | Acupuncturist | Progressive Medicine, 17 Old Barn Road, Kent, CT 06757 | 2007-06-29 |
1407981681 | Dan Traub | Specialist/Technologist | Kent School 1 Macedonia Rd., Kent, CT 06757 | 2007-02-21 |
1518057942 | Michael G Monsarrat | Dentist | 37 N Main St, Kent, CT 06757 | 2006-10-14 |
1891800512 | Leonard Jerome Astrauskas | Internal Medicine | 27 North Main Street, Unit 7a, Kent, CT 06757 | 2006-08-20 |
Find all providers in zip 06757 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366041048 | Shawna Lynn Mokler | Counselor | 841 Central Ave N Ste 215, Kent, WA 98032-2014 | 2020-10-22 |
1396216974 | Wellness Counseling Services LLC | Counselor | 19309 68th Avenue South R101-c105, Kent, WA 98032-2105 | 2018-12-08 |
1417426735 | Leonard James Irving Sr. | Counselor | 3407 S 253rd St, Kent, WA 98032-9746 | 2018-11-15 |
1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
1548755853 | Winter Nicole Finch | Counselor | 21851 84th Ave S Ste 101, Kent, WA 98032-1958 | 2018-06-28 |
1851892541 | Kortni M Collins | Counselor | 785 Silver Meadows Blvd, Kent, OH 44240-1919 | 2018-02-27 |
1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
1750732921 | Janice Melinda Davis | Counselor | 5624 S 231st Pl, Kent, WA 98032-6409 | 2016-06-28 |
1093111585 | Antony Lolo Xczar | Counselor | 325 W Gowe Street, Kent, WA 98032 | 2014-11-10 |
1609290535 | Clara Saeteurn | Counselor | 14024 Se 280th Pl, Kent, WA 98042-7413 | 2014-02-12 |
Find all providers in KENT |
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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.