WANDERLUST THERAPEUTIC SERVICES (NPI# 1225659600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225659600 |
| Entity Type | Organization |
| Organization Name | WANDERLUST THERAPEUTIC SERVICES |
| Practice Address |
71 Spit Brook Rd Ste 407 Nashua NH 03060-5636 |
| Mailing Address |
97 Central St Ste 205a Lowell MA 01852-1943 |
| Practice Telephone | 9787282388 |
| Practice Fax Number | 6035894981 |
| Mailing Telephone | 9784830182 |
| Mailing Fax Number | 6035894981 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | MELBOURNE RICHARD MORAN JR. (PROPRIETOR) |
| Authorized Official Telephone | 9784830182 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 97 Central St Ste 205a, Lowell, MA 018521943 | 9784830182 | 6035894981 |
| Street Address |
71 SPIT BROOK RD STE 407 |
| City | NASHUA |
| State | NH |
| Zip Code | 03060-5636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693563 | Cascades of Nh, LLC | Clinic/Center | 9 East Pearl Street, Nashua, NH 03060 | 2019-11-13 |
| 1548757016 | Janine N Savage | Occupational Therapist | Courville At Nashua, 22 Hunt Street, Courville, NH 03060 | 2018-04-19 |
| 1942705124 | Decoteau Orthodontics, Pllc | Dentist | 169 Kinsley St., Nashua, NH 03060 | 2018-03-28 |
| 1053774109 | Global Adult Daycare Health Center Inc | Nursing Care | 295 S. Daniel Webster Highway, #7, Nashua, NH 03060 | 2016-04-05 |
| 1851760300 | Alyssa Reault | Specialist/Technologist | 37 Paul Ave, Nashua, NH 03060 | 2015-09-15 |
| 1255725529 | Christopher J. Mancuso | Dermatology | 17 Prospect St Ste N-301, Nashua, NH 03060 | 2015-03-25 |
| 1437579323 | Jason T. Koch | Family Medicine | 280 Main St Ste 210, Nashua, NH 03060 | 2014-04-18 |
| 1295088540 | Mary C Bendel | Registered Nurse | 45 High Street, Nashua, NH 03060 | 2012-10-24 |
| 1720362650 | Fatima Sanders | Pharmacist | 217 Daniel Webster Highway, Nashua, NH 03060 | 2011-10-11 |
| 1922394337 | Kelley Purselley | Counselor | 440 Amhurst St, Nashua, NH 03060 | 2011-06-23 |
| Find all providers in zip 03060 | ||||
| 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 |
|---|---|---|---|---|
| 1669944591 | Maureen Brown | Social Worker | 175 Searles Rd, Nashua, NH 03062-3047 | 2018-12-17 |
| 1336630391 | Elizabeth Marie Masek | Social Worker | 6 Sheffield Rd, Nashua, NH 03062-3028 | 2018-05-25 |
| 1386149482 | Harbor Homes, Inc. | Social Worker | 10-12 Amherst St, Nashua, NH 03064-0306 | 2018-03-29 |
| 1639670474 | Atona Dalanne King | Social Worker | 18 Nagle St, Nashua, NH 03060-4450 | 2018-02-27 |
| 1053828301 | Womens Counseling of Nashua Pllc | Social Worker | 71 Spit Brook Rd Ste 403, Nashua, NH 03060-5636 | 2018-01-09 |
| 1881137958 | Laura Lombardi | Social Worker | 30 Temple St Ste 105, Nashua, NH 03060-3483 | 2016-11-22 |
| 1184067860 | Robert Paul Zimmerman | Social Worker | 33 Fairmount St, Nashua, NH 03064-2523 | 2013-04-11 |
| 1053662593 | Lindsey Veiga | Social Worker | 139 Ledge St, Nashua, NH 03060-3073 | 2012-09-24 |
| 1619293735 | Mark A Phillips | Social Worker | 65 Technology Way Ste 1e3, Nashua, NH 03060 | 2010-04-14 |
| 1558485664 | Patricia Hugenberger | Social Worker | 22 Concord St, Nashua, NH 03064-2360 | 2007-03-16 |
| Find all providers in NASHUA | ||||
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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.