JENNIFER LISH (NPI# 1265597918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265597918 |
| Entity Type | Individual |
| Full Name | JENNIFER LISH |
| Credential | PH.D. |
| Practice Address |
9 Cedar St Worcester MA 01609-2505 |
| Mailing Address |
15 Avery Rd Holden MA 01520-1235 |
| Practice Telephone | 5082100114 |
| Practice Fax Number | 5087558645 |
| Mailing Telephone | 5082100114 |
| Mailing Fax Number | 5087558645 |
| Enumeration Date | 2006-12-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7335 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1854062 | 05 |
| Street Address |
9 CEDAR ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709448 | Brian Wayne Litzenberger | Psychologist | 9 Cedar St, Worcester, MA 01609-2505 | 2005-06-10 |
| 1831440627 | Laura Jeanne Smith | Social Worker | 9 Cedar St, Worcester, MA 01609-2586 | 2012-09-20 |
| 1972813137 | Kerri Mccleary | Social Worker | 9 Cedar St, Worcester, MA 01609-2505 | 2010-10-20 |
| 1487711461 | Sarah A Valois | Social Worker | 9 Cedar St, Worcester, MA 01609-2505 | 2007-01-02 |
| 1619053097 | Stephen Beaton | Counselor | 9 Cedar St, Worcester, MA 01609-2505 | 2006-10-28 |
| 1912080458 | Naome Mae Fearing | Counselor | 9 Cedar St, Worcester, MA 01609-2505 | 2006-10-20 |
| 1275634933 | Helen O Turano | Social Worker | 9 Cedar St, Worcester, MA 01609-2505 | 2006-09-26 |
| 1457452492 | Howard N. Blatt | Social Worker | 9 Cedar St, Worcester, MA 01609-2505 | 2006-09-25 |
| 1801996459 | Lloyd Thomas Williams | Social Worker | 9 Cedar St, Worcester, MA 01609-2505 | 2006-09-24 |
| 1407962673 | Debra Vincetta Deangelo | Social Worker | 9 Cedar St, Worcester, MA 01609-2586 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659910867 | Tatiana Gray | Psychologist | 8 Housatonic St, Worcester, MA 01606-1618 | 2020-01-06 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1760830632 | Samantha Anne Minski | Psychologist | 630 Plantation St Fl Street12, Worcester, MA 01605-2038 | 2016-06-01 |
| 1619201704 | Brenda J King | Psychologist | 78 Burncoat Street, Worcester, MA 01605 | 2009-09-23 |
| 1841460730 | University of Massachusetts | Psychologist | 275a Belmont Street, Worcester, MA 01604-1675 | 2008-03-06 |
| 1467508259 | John Michael Madonna Jr. | Psychologist | 469 Chandler Street, Worcester, MA 01602 | 2007-01-26 |
| 1285799965 | Stuart G Fisher | Psychologist | 124 Newton Ave N, Worcester, MA 01609-1404 | 2006-12-24 |
| 1881757136 | John Patrick Terry | Psychologist | Psychiatry & Familey Counseling 52 Cedar Street, Worcester, MA 01609 | 2006-12-18 |
| 1548343742 | Megan Kirby | Psychologist | 21 Cedar St, Worcester, MA 01609 | 2006-10-23 |
| 1881792034 | Donald A Favreau | Psychologist | 35 Adelle Circuit, Worcester, MA 01607-0563 | 2006-09-20 |
| 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.