MRS. KEIYA ANGENETTE MYLES (NPI# 1376786715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376786715 |
| Entity Type | Individual |
| Full Name | MRS. KEIYA ANGENETTE MYLES |
| Credential | LICSW |
| Practice Address |
130 Marshall Rd Lowell MA 01852-5130 |
| Mailing Address |
109 Elmwood Rd Wellesley MA 02481-1148 |
| Practice Telephone | 5133143248 |
| Mailing Telephone | 5133143248 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
118949 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
I. 0700071 | OH | Behavioral Health & Social Service Providers |
| Street Address |
130 MARSHALL RD |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-5130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079668 | Meredith A Enright | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2005-10-31 |
| 1801401336 | Kristin Latino | Occupational Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2020-09-11 |
| 1881119733 | Justin Mayhew | Dietitian, Registered | 130 Marshall Rd, Lowell, MA 01852-5130 | 2017-08-11 |
| 1861681934 | Alexander J Scerbo | Clinical Nurse Specialist | 130 Marshall Rd, Lowell Cboc, Lowell, MA 01852-5130 | 2007-10-15 |
| 1760684955 | Shivani Motkar Reddy | Internal Medicine | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-06-01 |
| 1750509063 | Sun Ok Lee | Nurse Practitioner | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-04-23 |
| 1659408235 | Diane F Clinton | Registered Nurse | 130 Marshall Rd, Lowell, MA 01852-5130 | 2007-02-28 |
| 1619038015 | Nicole Marie Powell | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-12-12 |
| 1235222019 | Joanne Mary Lyson | Physical Therapist | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-10-02 |
| 1982700357 | Robert Alan Daniels | Social Worker | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| 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 |
|---|---|---|---|---|
| 1710513213 | Kathryn A Heggen | Social Worker | 3203 Timpson Ave Se, Lowell, MI 49331-9556 | 2020-03-16 |
| 1104383397 | Darcie Elizabeth Coleman | Social Worker | 21 Carter St, Lowell, MA 01852-4609 | 2019-02-25 |
| 1437616885 | Kadeen Healy | Social Worker | 1140 Gorham St, Lowell, MA 01852-5019 | 2019-02-21 |
| 1477038255 | Sarah Laflamme | Social Worker | 144 Merrimack St Ste 102, Lowell, MA 01852-1725 | 2018-09-27 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1033691522 | Gina A Martel | Social Worker | 40 Paige St, Lowell, MA 01852-1121 | 2018-08-31 |
| 1801378344 | Amy Ellentuck | Social Worker | 50 Fr Morissette Blvd, Lowell, MA 01852-1037 | 2018-08-31 |
| 1821575390 | Stephanie Burke | Social Worker | 33 E Merrimack St, Lowell, MA 01852-1204 | 2018-07-26 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1477047041 | Janice Hrabovszky | Social Worker | 370 Jackson St, Lowell, MA 01852-2181 | 2018-06-18 |
| Find all providers in LOWELL | ||||
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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.