CCM PSYCHOTHERAPY, LLC (NPI# 1306129119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306129119 |
| Entity Type | Organization |
| Organization Name | CCM PSYCHOTHERAPY, LLC |
| Practice Address |
76 Westbury Park Rd Suite 303e Watertown CT 06795-0000 |
| Practice Telephone | 8604176100 |
| Mailing Telephone | 8604176100 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | CATHERINE MCMAHON (OWNER) |
| Authorized Official Telephone | 8604176100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
007557 | CT | Behavioral Health & Social Service Providers |
| Street Address |
76 WESTBURY PARK RD SUITE 303E |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215156 | Rise Up Behavioral Health Services LLC | Nurse Practitioner | 76 Westbury Park Rd, Watertown, CT 06795-2779 | 2019-09-25 |
| 1336619840 | Ariana M Cardozo | Social Worker | 76 Westbury Park Rd, Watertown, CT 06795-2779 | 2018-11-27 |
| 1851844534 | Safe Journey Counseling, LLC | Community/Behavioral Health | 76 Westbury Park Rd, Watertown, CT 06795-2779 | 2016-07-28 |
| 1881965002 | Sidway Counseling, LLC | Marriage & Family Therapist | 76 Westbury Park Rd, Suite 303e, Watertown, CT 06795-2779 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232187 | Watertown Wellness Center LLC | Community/Behavioral Health | 116 Georgetown Drive, Watertown, CT 06795 | 2018-04-17 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
| 1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
| 1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
| Find all providers in zip 06795 | ||||
| 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 |
|---|---|---|---|---|
| 1841822319 | Amanda Whitney Lasko Gross | Social Worker | 210 Belmont St Apt 10, Watertown, MA 02472-3557 | 2020-02-12 |
| 1568094902 | New Beginnings Counseling LLC | Social Worker | 51 Echo Lake Rd, Watertown, CT 06795-2638 | 2020-02-04 |
| 1841821477 | Sarah J Fredrich | Social Worker | 312 E Main St Ste 210, Watertown, WI 53094-3755 | 2020-02-02 |
| 1598237042 | Ryan Lawlor | Social Worker | 37 Carmel Hill Rd, Watertown, CT 06795-2437 | 2018-12-21 |
| 1942779996 | Julie Kong | Social Worker | 29 Pilgrim Rd, Watertown, MA 02472-2255 | 2018-11-20 |
| 1831674845 | Joanna Brownstein | Social Worker | 29 Warren St, Watertown, MA 02472-3651 | 2018-09-26 |
| 1871078758 | Carolyn Hanke | Social Worker | 262 Main St Apt 1, Watertown, MA 02472-4308 | 2018-09-26 |
| 1043792039 | Francis Xavier Galligan | Social Worker | 14 Grandview Ave, Watertown, MA 02472-1790 | 2018-09-05 |
| 1265913362 | Natalie Lang | Social Worker | 14 Morton St, Watertown, MA 02472-2249 | 2018-08-27 |
| 1154809473 | Elaine L Sherwood | Social Worker | 705 Mount Auburn St Fl 4, Watertown, MA 02472-1508 | 2018-07-30 |
| Find all providers in WATERTOWN | ||||
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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.