MARY ANN POWDERLY (NPI# 1467615666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467615666 |
| Entity Type | Individual |
| Full Name | MARY ANN POWDERLY |
| Credential | LPC |
| Practice Address |
693 Bloomfield Ave Bloomfield CT 06002-2489 |
| Practice Telephone | 8602436584 |
| Practice Fax Number | 8602436591 |
| Mailing Telephone | 8602436584 |
| Mailing Fax Number | 8602436591 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2011-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002018 | CT | Behavioral Health & Social Service Providers |
| Street Address |
693 BLOOMFIELD AVE |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649234816 | Dominick Edward Deslauriers | Physical Therapist | 693 Bloomfield Ave, 2nd Floor, Bloomfield, CT 06002-2489 | 2006-04-14 |
| 1790392595 | Gabriella Ade-onojobi | Counselor | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2020-09-25 |
| 1063034510 | Joon Wilson | Counselor | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2020-05-07 |
| 1548811243 | Edwin Figueroa | Counselor | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2019-09-24 |
| 1295384071 | Kylie Y Harrington | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2019-09-05 |
| 1942793344 | Eric Stillman | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2018-06-11 |
| 1124519244 | Lindsey Lostilmolo | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2018-05-24 |
| 1962904649 | Bethany Stuck | Counselor | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2018-03-08 |
| 1790284164 | Georgina Twumasi | Nurse Practitioner | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2018-02-12 |
| 1720587868 | Jacqueline Ortiz Miller | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Ave, Bloomfield, CT 06002-2489 | 2018-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679138358 | Fayon Witche | Counselor | 27 West St Ste 7b, Bloomfield, NJ 07003-4938 | 2019-05-07 |
| 1790246650 | Jonathan Lee Cornell | Counselor | 262 Chaplin Rd, Bloomfield, KY 40008-7125 | 2019-03-25 |
| 1285117275 | Megan Wehman | Counselor | 700 Bloomfield Ave Unit 347, Bloomfield, CT 06002-4240 | 2018-09-14 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1073039715 | Susan L Shea | Counselor | 402 Barbara Street, Bloomfield, MO 63825 | 2017-08-15 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1710420070 | Emily Parodi | Counselor | 2 Broad St Ste 300, Bloomfield, NJ 07003-2547 | 2016-11-18 |
| 1396294500 | Mario Castellanos | Counselor | 25 Donald St Apt D, Bloomfield, NJ 07003-6182 | 2016-09-28 |
| 1063870384 | Adisa Alghali | Counselor | 1018 Broad St Ste 6, Bloomfield, NJ 07003-2884 | 2016-02-01 |
| 1396165635 | Connecticut Counseling Services | Counselor | 8 Bear Ridge Dr, Bloomfield, CT 06002-1108 | 2014-04-25 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on MARY ANN POWDERLY.
| 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.