JACQUELINE WELCH-BENNETT (NPI# 1669534665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669534665 |
| Entity Type | Individual |
| Full Name | JACQUELINE WELCH-BENNETT |
| Credential | LMSW |
| Practice Address |
226 Linda Ave Hawthorne NY 10532-2018 |
| Practice Telephone | 9147737593 |
| Practice Fax Number | 9147737594 |
| Mailing Telephone | 9147737593 |
| Mailing Fax Number | 9147737594 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 063832 | NY | Residential Treatment Facilities |
| Street Address |
226 LINDA AVE |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932209095 | Leonardo Rodriguez | Social Worker | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2006-09-25 |
| 1285296004 | Anat Rotem | Registered Nurse | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2019-07-01 |
| 1598328395 | Colleen Heather Spratt | Registered Nurse | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2019-04-17 |
| 1124586953 | Monique Budeshia Evering | Licensed Practical Nurse | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2019-03-11 |
| 1215412259 | Marta Morris | Social Worker | 226 Linda Ave, Hawthorne, NY 10532 | 2018-09-25 |
| 1821578352 | Trisha Absalom-graham | Student in an Organized Health Care Education/Training Program | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2018-08-15 |
| 1912485954 | Rachel Protter | Student in an Organized Health Care Education/Training Program | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2018-08-01 |
| 1386136406 | Janine Sabot | Behavioral Analyst | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2018-06-04 |
| 1790283448 | Justine Megan Burns | Student in an Organized Health Care Education/Training Program | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2018-01-29 |
| 1184137267 | Kathleen D Minieri | Registered Nurse | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2017-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275083198 | Fleming & Barnes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2509 W 115th Pl, Hawthorne, CA 90250-1968 | 2016-10-04 |
| 1861898173 | Darren E Mcleod Sr. | Residential Treatment Facility, Emotionally Disturbed Children | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2014-11-13 |
| 1326312950 | Jewish Board of Family and Children Services | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2012-02-29 |
| 1619251865 | Tiffany Bell | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2011-10-06 |
| 1871877027 | Ingrid N Mckenzie | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2011-10-06 |
| 1457651887 | Jewish Board of Family and Children's Services | Residential Treatment Facility, Emotionally Disturbed Children | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2010-11-02 |
| 1184897795 | Shari G Silverstein | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2008-04-04 |
| 1811168503 | Kim M Wisniewski | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2008-03-20 |
| 1578734331 | Dawn Marie Schaefer | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2008-03-19 |
| 1306017272 | Erin Michelle Viola | Residential Treatment Facility, Emotionally Disturbed Children | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2008-03-18 |
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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.