KELLY ANNE MANGIAFICO


Address: 1098 Farmington Ave, Bristol, CT 06010-4705
Phone: 8605896433

KELLY ANNE MANGIAFICO (NPI# 1538218805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538218805
Entity Type Individual
Full Name KELLY ANNE MANGIAFICO
Other Name KELLY ANNE JOHNSON
Credential LCSW
Practice Address 1098 Farmington Ave
Bristol
CT 06010-4705
Practice Telephone 8605896433
Mailing Telephone 8605896433
Enumeration Date 2007-01-09
Last Update Date 2017-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker Behavioral Health & Social Service Providers

Office Location

Street Address 1098 FARMINGTON AVE
City BRISTOL
State CT
Zip Code 06010-4705

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1962062810 Ariel Morley Urology 15 Riverside Avenue, Bristol, CT 06010 2019-06-13
1013439488 Theresa Rose Manolitsis Student in an Organized Health Care Education/Training Program 170 Pondview Lane, Bristol, CT 06010 2017-07-07
1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1346609955 Monika Magdalena Sullivan Nurse Practitioner 122 Maple Street, Bristol, CT 06010 2016-02-11
1346660776 Peter Bellezza Podiatrist 15 Riverside Ave, Bristol, CT 06010 2014-04-24
1487088001 Stephen Alexander Merwin Social Worker 32 Laird Drive, Bristol, CT 06010 2013-08-30
1215369574 In Kyung Lee Dentist 1192 Farmington Ave., Bristol, CT 06010 2013-08-08
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205440120 Lavonne Womack Social Worker 1325 Farmington Ave Apt 12, Bristol, CT 06010-4774 2020-09-08
1235658147 Leah Elizabeth Cohen Social Worker 100 Green Ln Ste 2, Bristol, PA 19007 2017-09-12
1316075468 Sharon Kay Good Social Worker 498 Industrial Drive, Bristol, TN 37620 2007-03-01
1477565596 Freida A Crutchfield Social Worker 26 Midway, Bristol Regional Counseling Ctr, Bristol, TN 37620 2006-08-13
1649221011 Twin Oaks Juvenile Development, Inc Social Worker 11939 Nw State Road 20, Bristol, FL 32321-3416 2006-05-12
1285619346 Patricia Logan Richard Social Worker 440 D N Main St, Bristol, CT 06010 2005-12-13
1295334241 Tracey Marie Aittama Social Worker 10611 Nw State Road 20, Bristol, FL 32321-3441 2020-10-21
1144828856 Joshua Zinz Ginsburg Social Worker 10611 Florida Highway 20, Bristol, FL 32321 2020-10-14
1124638481 Shannon Rebecca Walsh Social Worker 10 N Main St, Bristol, CT 06010-8122 2020-08-03
1124646708 Melanie Klinck Social Worker 225 N Main St Ste 106, Bristol, CT 06010-4993 2020-07-09
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Competitor

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City BRISTOL
Zip Code 06010

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Dataset Information

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.

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