ANNA REBECCA ROSE KANCHARLA (NPI# 1518577071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518577071 |
| Entity Type | Individual |
| Full Name | ANNA REBECCA ROSE KANCHARLA |
| Practice Address |
44 Diauto Dr Randolph MA 02368-4536 |
| Mailing Address |
156 Quincy Shore Dr Unit 68 Quincy MA 02171-2911 |
| Practice Telephone | 7818857252 |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2020-08-08 |
| 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 |
44 DIAUTO DR |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811210594 | Lamour By Design, Inc | Community/Behavioral Health | 44 Diauto Dr, Randolph, MA 02368-4536 | 2010-03-09 |
| 1740880996 | Robert A Grigore | Behavioral Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-27 |
| 1144827882 | Thalia Roman | Assistant Behavior Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-06 |
| 1073110128 | Chie Mitsui | Counselor | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-10-01 |
| 1104432392 | Jolie Vilmeli Medrano | Assistant Behavior Analyst | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-09-22 |
| 1023636123 | Emily Tieu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-07-06 |
| 1538780309 | Jerilynn Mejia | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-05-02 |
| 1619500329 | Regine Beris | Behavior Technician | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-02-20 |
| 1871124602 | Hasna Kazi | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
| 1851922686 | Jing Liu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1154932879 | Pcs Tele-behavioral Health Services LLC | Social Worker | 7 Van Tassel Dr, Randolph, MA 02368-2819 | 2020-08-14 |
| 1932761632 | Carly H Herschman | Social Worker | 2 W Hanover Ave Ste 203, Randolph, NJ 07869-4222 | 2019-07-02 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1073079943 | Elaine M. Gatewood | Social Worker | 1201 Irving Rd, Randolph, MA 02368-1800 | 2019-02-15 |
| 1780150102 | Rita Bouchedid | Social Worker | 46 Center Grove Rd Apt U102, Randolph, NJ 07869-4439 | 2018-10-24 |
| 1841775376 | Vivian Soper | Social Worker | 34 Sarah St, Randolph, MA 02368-1908 | 2018-10-01 |
| 1023592375 | Carolyn Ruth Sheppard | Social Worker | 35 Mcdevitt Rd, Randolph, MA 02368-3850 | 2018-09-23 |
| 1346722832 | Peter Angelos | Social Worker | 33 Fitch Ter, Randolph, MA 02368-5121 | 2018-08-31 |
| 1184103830 | Anthony Bosco | Social Worker | 123 Reed St, Randolph, MA 02368-1621 | 2018-08-13 |
| 1326554064 | Misty Pisani | Social Worker | 47 Collins Ave, Randolph, MA 02368-2003 | 2017-12-18 |
| Find all providers in RANDOLPH | ||||
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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.