MS. KRISTAL ALEXIS LEWIS (NPI# 1295380913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295380913 |
| Entity Type | Individual |
| Full Name | MS. KRISTAL ALEXIS LEWIS |
| Credential | KRISTAL |
| Practice Address |
100 Jefferson Sq Waterbury CT 06706-1109 |
| Practice Telephone | 2035654917 |
| Mailing Telephone | 8607933598 |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
100 JEFFERSON SQ |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659307106 | Kunjathan Thankappan | Psychiatry & Neurology | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-06-25 |
| 1467072033 | Sarah Michelle Whalen | Nurse Practitioner | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2020-04-23 |
| 1487290193 | Kelsey L Laudano | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2019-11-18 |
| 1154964138 | Bianca M Kizis | Registered Nurse | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2019-10-23 |
| 1700337292 | Stephanie Nicole Carroll | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2016-10-19 |
| 1720454028 | Katherine Sasso | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2015-08-20 |
| 1073623997 | Pamela H. Pratt | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-08-30 |
| 1154344828 | James Artes | Counselor | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-07-25 |
| 1982633293 | Barbara Cable | Social Worker | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-06-30 |
| 1700814076 | Mario Perez | Psychiatry & Neurology | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
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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 |
|---|---|---|---|---|
| 1639786072 | Cassandra Lynn Manger | Social Worker | 255 Bank St, Waterbury, CT 06702-2219 | 2020-09-29 |
| 1033720198 | Jacqueline A Roscoe | Social Worker | 115 Kara Dr, Waterbury, CT 06704-1573 | 2020-08-12 |
| 1477195386 | Mayte Stephanie Robalino | Social Worker | 96 Dikeman St, Waterbury, CT 06704-3905 | 2019-10-11 |
| 1144874819 | Chantell Paris | Social Worker | 98 Dikeman St, Waterbury, CT 06704-3905 | 2019-07-30 |
| 1720563976 | Aubry Fappiano | Social Worker | 800 Country Club Rd, Waterbury, CT 06708-3240 | 2018-10-03 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1093252090 | Miranda Jones | Social Worker | 135 Roseland Ave, Waterbury, CT 06710-1411 | 2017-01-27 |
| 1447792833 | Carla L. Guglielmo | Social Worker | 422 Highland Ave, Waterbury, CT 06708-3443 | 2016-11-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1437554573 | Megan O'connor | Social Worker | 203 Eastside Blvd, Waterbury, CT 06706-2847 | 2014-10-31 |
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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.