MARY KATHERINE WOLLSTADT (NPI# 1699247163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699247163 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE WOLLSTADT |
| Practice Address |
26 Central St Somerville MA 02143-2827 |
| Practice Telephone | 6176653370 |
| Practice Fax Number | 6176251288 |
| Mailing Telephone | 6176653370 |
| Mailing Fax Number | 6175460879 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Middlesex Ave, Somerville, MA 021451102 | 6175916900 | 6175916990 |
| Street Address |
26 CENTRAL ST |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720060155 | Miriam Cohen Tepper | Psychiatry & Neurology | 26 Central St, Cambridge Health Alliance, Somerville, MA 02143-2827 | 2005-11-21 |
| 1124667183 | Marie N Paul | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-12-22 |
| 1558906388 | Manouchka Desir | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2019-11-15 |
| 1891341293 | David Nguyen | Psychologist | 26 Central St, Somerville, MA 02143-2827 | 2019-08-13 |
| 1447813472 | Cassie Brooke Aponas | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-04-16 |
| 1417418336 | Ineida Barros | Registered Nurse | 26 Central St, Somerville, MA 02143-2827 | 2019-03-26 |
| 1487119327 | Bernardo Nava Ponte | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2019-02-05 |
| 1811469711 | Mary Fortin | Licensed Practical Nurse | 26 Central St, Somerville, MA 02143-2827 | 2018-12-18 |
| 1326520669 | Diana Kimberly Zambrano Vanderley | Clinic/Center | 26 Central St, Somerville, MA 02143-2827 | 2018-09-04 |
| 1588145668 | Zoe Selden Valette | Social Worker | 26 Central St, Somerville, MA 02143-2827 | 2018-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295210144 | Stephanie Edouazin | Case Manager/Care Coordinator | 26 Central St Fl 4, Somerville, MA 02143-2827 | 2018-09-26 |
| 1720418072 | Wai Yee Chan | Case Manager/Care Coordinator | 771 Somerville Ave, Somerville, MA 02143-3531 | 2013-11-23 |
| 1538361266 | Glorimar Ruiz Mercado | Case Manager/Care Coordinator | 66 Highland Rd # 1, Somerville, MA 02144-2311 | 2007-06-04 |
| 1558906388 | Manouchka Desir | Case Manager/Care Coordinator | 26 Central St, Somerville, MA 02143-2827 | 2019-11-15 |
| 1841835410 | Yahnissi Ndukwe Stoler | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-11-07 |
| 1669017224 | Jamie Williamson | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-11-07 |
| 1841831815 | Nalsy Gisseth Buenaventura | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-10-01 |
| 1982245957 | Sarah Curless | Case Manager/Care Coordinator | 17 Innerbelt Rd, Somerville, MA 02143-4418 | 2019-10-01 |
| 1073079851 | Jacqueline Kane | Case Manager/Care Coordinator | 1 Davis Sq, Somerville, MA 02144-2904 | 2019-02-16 |
| 1881159457 | Gabrielle Short | Case Manager/Care Coordinator | 1 Davis Sq, Somerville, MA 02144-2904 | 2019-02-07 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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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.