ILANAREI RACHAEL GOSS (NPI# 1619282159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619282159 |
| Entity Type | Individual |
| Full Name | ILANAREI RACHAEL GOSS |
| Other Name | ILANA TAVAN |
| Credential | LICSW |
| Practice Address |
380 Pleasant St Ste 11 Malden MA 02148-8127 |
| Practice Telephone | 6179556519 |
| Practice Fax Number | 3396743017 |
| Mailing Telephone | 6179556519 |
| Mailing Fax Number | 3396743017 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
113268 | MA | Behavioral Health & Social Service Providers |
| Street Address |
380 PLEASANT ST STE 11 |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-8127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200452 | Rosemary C Waterman | Physician Assistant | 380 Pleasant St, Suite 13, Malden, MA 02148 | 2006-01-20 |
| 1851806707 | Mandi Curtis | Social Worker | 380 Pleasant St, 1-1, Malden, MA 02148 | 2017-12-13 |
| 1205123122 | Carrie A Rys | Nurse Practitioner | 380 Pleasant St, Suite 13, Malden, MA 02148-8123 | 2011-06-29 |
| 1023258092 | Matthew Houle | Physical Therapy Assistant | 380 Pleasant St, Malden, MA 02148-8123 | 2009-03-03 |
| 1457528234 | Primedic,llc | Durable Medical Equipment & Medical Supplies | 380 Pleasant St, Suite Ll2a, Malden, MA 02148-8123 | 2008-05-12 |
| 1194919530 | David F Tee Md PC | Internal Medicine | 380 Pleasant St, Ste 11, Malden, MA 02149 | 2007-08-29 |
| 1568689628 | Jill Lococo | Nurse Practitioner | 380 Pleasant St, Suite 13, Malden, MA 02148-8123 | 2007-04-19 |
| 1518903327 | Malden Primary Care, PC | Internal Medicine | 380 Pleasant St, Suite 13, Malden, MA 02148-8123 | 2006-06-21 |
| 1659318459 | Arnold J. Blank | Internal Medicine | 380 Pleasant St, #13, Malden, MA 02148-8123 | 2006-06-01 |
| 1003884677 | David Fowler Tee | Internal Medicine | 380 Pleasant St, Suite 1-1, Malden, MA 02148-8123 | 2006-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
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| 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 |
|---|---|---|---|---|
| 1386255222 | Jennifer Shiiba | Social Worker | 60 Orient St, Malden, MA 02148-2714 | 2020-08-13 |
| 1033692785 | Amannda Depaolo | Social Worker | 29 Wescott St, Malden, MA 02148-4611 | 2018-09-10 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1598247124 | Karen Ann Wheelock | Social Worker | 45 Loomis St Apt 306, Malden, MA 02148-2010 | 2018-08-30 |
| 1972081792 | Kelly Ryle Farrell | Social Worker | 178 Savin St Ste 300, Malden, MA 02148-2329 | 2018-08-02 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1356888770 | Osob Issa | Social Worker | 529 Pleasant St Apt B, Malden, MA 02148-3524 | 2017-01-24 |
| 1104163203 | Mingyang Zheng | Social Worker | 92 Clifton St, Malden, MA 02148-2622 | 2013-01-09 |
| 1821382607 | Kristin Maria Weekley | Social Worker | 5 Greystone Rd, Malden, MA 02148-1208 | 2011-06-08 |
| 1164744280 | Jessica Slavin Connelly | Social Worker | 17 Corey Rd, Malden, MA 02148-1116 | 2010-02-16 |
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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.