EDGARDO JIMENEZ (NPI# 1649520602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649520602 |
| Entity Type | Individual |
| Full Name | EDGARDO JIMENEZ |
| Practice Address |
91 Northwest Dr Plainville CT 06062-1534 |
| Practice Telephone | 8607933538 |
| Practice Fax Number | 8607934740 |
| Mailing Telephone | 8607933538 |
| Mailing Fax Number | 8607934740 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2014-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083827067 | Edgardo E Jimenez | Pediatrics | B13 Calle Trevi, San Juan, PR 00926-6478 | 2007-05-07 |
| Street Address |
91 NORTHWEST DR |
| City | PLAINVILLE |
| State | CT |
| Zip Code | 06062-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609972918 | Daniel Leo Flaherty | Social Worker | 91 Northwest Dr, Wheeler Clinic, Plainville, CT 06062 | 2006-09-15 |
| 1871108076 | Wheeler Clinic Inc | Clinic/Center | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-09-14 |
| 1801409834 | Amanda Lynn Toni | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-28 |
| 1568075034 | Allison Crockett | Nurse's Aide | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-25 |
| 1144831058 | Kelly Wakeland | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-08-13 |
| 1457960254 | Tina Loarte-rodriguez | Registered Nurse | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-07-28 |
| 1427676782 | Brittney L Richleigh | Marriage & Family Therapist | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-07-13 |
| 1649894346 | Heather Agid | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1534 | 2020-05-29 |
| 1962025692 | Mary-ann Alisha Staggers | Counselor | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-05-28 |
| 1326660523 | Jennifer Gulick | Student in an Organized Health Care Education/Training Program | 91 Northwest Dr, Plainville, CT 06062-1552 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967263 | Zachary Mcpherson | Pharmacist | 5 Farmington Avenue, Plainville, CT 06062 | 2019-11-24 |
| 1851891634 | Nora Ainsworth | Dietitian, Registered | 28 North St Apt 4, Plainville, CT 06062 | 2018-02-18 |
| 1104348192 | The Center for Emotional Healing, LLC | Community/Behavioral Health | 307 East Street, Unit 1, Plainville, CT 06062 | 2017-07-11 |
| 1013441385 | Plainville Community Pharmacy LLC | Pharmacy | 170 East Street, Plainville, CT 06062 | 2017-04-13 |
| 1730551821 | Christelle Locke-johnson | Counselor | 91 Wheeler Clinic, 91 Northwest Drive, Plainville, CT 06062 | 2015-10-28 |
| 1982080560 | Jamie Erickson | Student in an Organized Health Care Education/Training Program | 91 Northwood Drive, Plainville, CT 06062 | 2015-08-05 |
| 1487049243 | Kelly E Lamb | Counselor | 78 East Street, Plainville, CT 06062 | 2015-03-30 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1285067603 | Bethany Anne Carr | Nurse Practitioner | 201 North Mountain Rd, Plainville, CT 06062 | 2013-08-21 |
| 1306288618 | Halima L Butler | Social Worker | 58 West Main St, Plainville, CT 06062 | 2013-07-28 |
| Find all providers in zip 06062 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683040 | Jessica Marie Russo | Social Worker | 24 Elizabeth Ct Fl 1b-2, Plainville, CT 06062-2755 | 2019-05-06 |
| 1306288618 | Halima L Butler | Social Worker | 58 West Main St, Plainville, CT 06062 | 2013-07-28 |
| 1073862835 | Terren M Emery | Social Worker | 6 Duval Ln, Plainville, CT 06062-2723 | 2012-09-07 |
| 1659664621 | Erica Carr | Social Worker | 74 East Street, Plainville, CT 06062 | 2011-05-24 |
| 1518110782 | Robert Gross IIi | Social Worker | 91 Nortwest Dr, Plainville, CT 06062 | 2008-10-31 |
| 1346386646 | Barry John Giordano | Social Worker | 30 Man Mar Drive, Suite 7, Plainville, MA 02762 | 2007-01-30 |
| 1609972918 | Daniel Leo Flaherty | Social Worker | 91 Northwest Dr, Wheeler Clinic, Plainville, CT 06062 | 2006-09-15 |
| 1760096705 | Alexandra Feliciano | Social Worker | 74 East St, Plainville, CT 06062-2367 | 2020-09-08 |
| 1720691132 | Jill Johnson | Social Worker | 74 East St, Plainville, CT 06062-2367 | 2020-08-25 |
| 1376161554 | Amanda Searle | Social Worker | 74 East St, Plainville, CT 06062-2367 | 2020-07-14 |
| Find all providers in PLAINVILLE | ||||
| City | PLAINVILLE |
| Zip Code | 06062 |
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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.