MS. NICOLE SYLVIA BEANBLOSSOM (NPI# 1518450121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518450121 |
| Entity Type | Individual |
| Full Name | MS. NICOLE SYLVIA BEANBLOSSOM |
| Credential | LMSW |
| Practice Address |
122 Business Park Dr Ste 1 Utica NY 13502-6321 |
| Practice Telephone | 3157323431 |
| Practice Fax Number | 8668222343 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1021641 | NY | Behavioral Health & Social Service Providers |
| Street Address |
122 BUSINESS PARK DR STE 1 |
| City | UTICA |
| State | NY |
| Zip Code | 13502-6321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992177190 | Jennifer Rick | Social Worker | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2015-10-27 |
| 1255961181 | Jennifer Ryann Yager | Social Worker | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2020-01-20 |
| 1467095018 | Megan Glenn Brown | Psychologist | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2019-10-25 |
| 1467001586 | Sidney Uquillas | Social Worker | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2019-09-11 |
| 1124593744 | Kathryn Kasky | Social Worker | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2018-10-10 |
| 1174018600 | Adhd & Autism Psychological Services and Advocacy, Pllc | Behavioral Analyst | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2018-06-27 |
| 1548787849 | Rianna Sawicky | Marriage & Family Therapist | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2017-08-28 |
| 1396282638 | Jacqueline Hawkins | Counselor | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2017-01-25 |
| 1417311549 | Kelly Maureen Greene | Counselor | 122 Business Park Dr Ste 1, Utica, NY 13502 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908006 | Warren J. Baynes Sr. | Social Worker | 1537 Seymour Ave, Utica, NY 13501-5013 | 2020-10-01 |
| 1467071464 | Audriana Molina | Social Worker | 407 Cypress St, Utica, NY 13502-1301 | 2020-04-10 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1851936413 | Rachel Marie Bastien | Social Worker | 616 Mary Street, Utica, NY 13491 | 2019-11-07 |
| 1669032033 | Erika Denise Alati-farley | Social Worker | 529 Woodhaven Rd, Utica, NY 13502-1323 | 2019-06-18 |
| 1477038131 | Jaime L Knout | Social Worker | 624 Elizabeth St, Utica, NY 13501-2413 | 2018-09-28 |
| 1902392020 | Linda Diana Hamilton | Social Worker | 113 Lyon Pl, Utica, NY 13502-6018 | 2018-07-02 |
| 1336639038 | Kellie Lee Dunn | Social Worker | 2129 Caroline St, Utica, NY 13502-3666 | 2018-05-17 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1528565421 | Michele Della Gala | Social Worker | 1427 Genesee Street, Utica, NY 13501 | 2018-04-09 |
| Find all providers in UTICA | ||||
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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.