SUSAN MORAN (NPI# 1629600903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629600903 |
| Entity Type | Individual |
| Full Name | SUSAN MORAN |
| Practice Address |
356 Main Street Er Randolph NY 14772-9696 |
| Practice Telephone | 7165351741 |
| Mailing Telephone | 7165351741 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R078346-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536677 | Susan E Moran | Speech-Language Pathologist | 1250 S Ardmore Ave, Villa Park, IL 60181-3205 | 2018-01-18 |
| 1184883290 | Susan Marie Moran | Audiologist | 5632 S Mcvicker Ave, Chicago, IL 60638-3532 | 2008-06-03 |
| 1679564280 | Susan Elizabeth Moran | Internal Medicine | Mgh Wacc 5th Floor, Bulfinch Medical Group, Boston, MA 02114-2696 | 2005-11-02 |
| 1881961241 | Susan Moran | Marriage & Family Therapist | 5151 N Palm Ave, #960, Fresno, CA 93704-2211 | 2011-11-29 |
| 1629263249 | Susan L. Moran | Nurse Practitioner | 15051 Shell Point Blvd, Fort Myers, FL 33908 | 2007-09-06 |
| 1528259074 | Susan M. Moran | Psychologist | 1260 N Dutton Ave, Suite 245, Santa Rosa, CA 95401-4659 | 2007-08-08 |
| 1760497242 | Susan Teresa Moran | Physician Assistant | 701 Broad St, Suite B 4th Floor, Sewickley, PA 15143-1652 | 2006-07-30 |
| 1326010521 | Susan Ott Moran | Pediatrics | 559 Vincent St, Attn: 21 Mdg/cc, Peterson Afb, CO 80914-1540 | 2006-02-02 |
| 1629056429 | Susan L Moran | Nurse Practitioner | 345 Maxwell Ave, Boulder, CO 80304-3972 | 2006-01-03 |
| 1225010390 | Susan P Moran | Internal Medicine | 65 Canal St, Millbury, MA 01527-3266 | 2005-11-15 |
| Street Address |
356 MAIN STREET ER |
| City | RANDOLPH |
| State | NY |
| Zip Code | 14772-9696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689205130 | Sarah E. Collins | Licensed Practical Nurse | 356 Main Street Er, Randolph, NY 14772-9696 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104136985 | Deborah Jane Fischer | Registered Nurse | 4773 Windmill Rd., Randolph, NY 14772 | 2010-10-14 |
| 1215911979 | Walter Howard Warriner | Nurse Practitioner | 356 Main Street, Randolph, NY 14772 | 2005-12-05 |
| 1780994855 | Connie Lynne Mckay | Licensed Practical Nurse | 19 New St, Randolph, NY 14772-1013 | 2010-10-07 |
| 1174623359 | James G Mruk | Dentist | 11 School St, Randolph, NY 14772-1103 | 2006-09-25 |
| 1639567753 | Michelle Lynn Miller | Registered Nurse | 15 College Ave, Apt 1, Randolph, NY 14772-1105 | 2014-12-23 |
| 1629550264 | Alexa Dinapoli | Speech-Language Pathologist | 18 Main St, Randolph, NY 14772-1112 | 2018-08-30 |
| 1205117348 | Cheryl Wascher | Speech-Language Pathologist | 22 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1366723496 | Kathleen Janet Bushnell | Occupational Therapy Assistant | 18 Main St, Randolph, NY 14772-1112 | 2011-09-02 |
| 1144360033 | Randolph Central School District | Local Education Agency (LEA) | 22 Main St, Randolph, NY 14772-1112 | 2007-02-08 |
| 1184747511 | Gail Chester Sandy | Pharmacist | 117 Main St, Randolph, NY 14772-1116 | 2007-04-09 |
| Find all providers in zip 14772 | ||||
| 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.