MRS. KELLY GILDEA (NPI# 1528496445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528496445 |
| Entity Type | Individual |
| Full Name | MRS. KELLY GILDEA |
| Credential | L.M.S.W. |
| Practice Address |
14 Washington Ave Suite 2 Brentwood NY 11717-3247 |
| Mailing Address |
316 Hyman Ave West Islip NY 11795-4105 |
| Practice Telephone | 6316175300 |
| Mailing Telephone | 6316712809 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
089884-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
14 WASHINGTON AVE SUITE 2 |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558507053 | Ana Carrion | Social Worker | 14 Washington Ave, Suite 2, Brentwood, NY 11717-3247 | 2009-01-05 |
| 1265943989 | Georgia Koutouzis | Social Worker | 14 Washington Ave, Brentwood, NY 11717-3247 | 2017-10-20 |
| 1578074365 | Erika F Richardson | Social Worker | 14 Washington Ave, Brentwood, NY 11717-3247 | 2017-10-19 |
| 1487163192 | Barbara Ann Chopyk | Social Worker | 14 Washington Ave, Brentwood, NY 11717-3247 | 2017-09-26 |
| 1548698889 | Karen Lopez | Social Worker | 14 Washington Ave, Suite 2, Brentwood, NY 11717-3247 | 2013-10-24 |
| 1356786131 | Samira Lopez Johnson | Social Worker | 14 Washington Ave, Brentwood, NY 11717-3247 | 2013-05-07 |
| 1023380771 | New Horizons Lcsw, PC | Social Worker | 14 Washington Ave, Suite 2, Brentwood, NY 11717-3247 | 2012-01-26 |
| 1285952812 | Diplomate Medical Care, Pllc | Specialist | 14 Washington Ave, Suite 2, Brentwood, NY 11717-3247 | 2010-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| 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 |
|---|---|---|---|---|
| 1528681053 | Lynn Faust Cohen | Social Worker | 9425 Raven Hollow Rd, Brentwood, TN 37027-8605 | 2020-05-19 |
| 1730746462 | Sarah Rae White | Social Worker | 102 Wheatfield Cir, Brentwood, TN 37027-4467 | 2019-05-29 |
| 1316465826 | Ashley Carson Smith | Social Worker | 212 Overlook Cir Ste 103, Brentwood, TN 37027-5396 | 2017-09-05 |
| 1730600503 | Virginia Poag | Social Worker | 1604 Westagte Circle, Ste 250, Brentwood, TN 37027 | 2017-07-03 |
| 1437696796 | Melba Calderon | Social Worker | 4411 34th St, Brentwood, MD 20722-1001 | 2017-01-25 |
| 1134585375 | Cindi Dingler | Social Worker | 570 Grand Oaks Dr, Brentwood, TN 37027-5650 | 2016-01-04 |
| 1982011144 | Edgar Escobar | Social Worker | 111 Suffolk Ave, Brentwood, NY 11717-4201 | 2014-07-18 |
| 1558704437 | Penny Beth Levy | Social Worker | 998 Crooked Hill Rd Bldg 47, Brentwood, NY 11717-1019 | 2013-04-10 |
| 1336499714 | Renee P Grevenberg | Social Worker | 191 Sand Creek Road, 202-c, Brentwood, CA 94513 | 2012-09-13 |
| 1285918391 | Migdalia Ruiz-rosario | Social Worker | 17 Grove St, Brentwood, NY 11717-3629 | 2011-10-07 |
| Find all providers in BRENTWOOD | ||||
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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.