WENDA MARION RESTALL (NPI# 1699833707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699833707 |
| Entity Type | Individual |
| Full Name | WENDA MARION RESTALL |
| Credential | LICSW |
| Practice Address |
1200 Converse Street Suite 202 Longmeadow MA 01106 |
| Mailing Address |
115 Western Drive Longmeadow MA 01106-1045 |
| Practice Telephone | 4134932505 |
| Practice Fax Number | 4135678668 |
| Mailing Telephone | 4134932585 |
| Mailing Fax Number | 4135678668 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1026600LICSW | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MASS HEALTH QMB | 1853082 | 01 | |
| MAGELLAN | 410011 | 01 | |
| UBH | 87726 | 01 | |
| BLUE CROSS BLUE SHIELD | P20329 | 01 | |
| HEALTH NEW ENGLAND | 30297 | 01 | |
| TUFTS | 794506 | 01 |
| Street Address |
1200 CONVERSE STREET SUITE 202 |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 01106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851503742 | Andrew M. Oxman | Counselor | 1200 Converse Street, Longmeadow, MA 01106 | 2007-05-04 |
| 1679811962 | Christopher H. Peteros, Dpm | Prosthetic/Orthotic Supplier | 1200 Converse Street, Suite 103, Longmeadow, MA 01106-1760 | 2013-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
| 1003429010 | Optimal Therapy Solutions, LLC | Clinic/Center | 127 Bel Air Drive, Longmeadow, MA 01106 | 2020-08-28 |
| 1164840666 | Erin Feller | Pediatrics | 123 Dwight Rd., Longmeadwod, MA 01106 | 2014-04-01 |
| 1255611299 | Christina Rose Lalime | Community Health Worker | 206 Bel Air Dive, Longmeadow, MA 01106 | 2011-08-22 |
| 1093833048 | Lilly Gaev | Social Worker | Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 | 2007-03-27 |
| 1093840530 | Julie A Cox | Psychologist | 167 Dwight Rd #104, Therapeutic Associates PC, Longmeadow, MA 01106 | 2007-02-23 |
| 1932252897 | Karen Elizabeth Marsian | Podiatrist | 123 Dwight Road, Suite 13 W1, Longmeadow, MA 01106 | 2007-01-22 |
| 1386700227 | Visions of Longmeadow | Eyewear Supplier (Equipment, not the service) | 471 Longmeadow Street, Visions of Longmeadow, Longmeadow, MA 01106 | 2006-12-28 |
| 1437226701 | Richard T. Longo | Psychologist | 167 Dwight Road, Suite #104, Longmeadow, MA 01106 | 2006-11-29 |
| 1265516561 | Amy B Pierno | Physical Therapist | 24 Tabor Xing, Longmeadow, MA 01106 | 2006-10-24 |
| Find all providers in zip 01106 | ||||
| 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 |
|---|---|---|---|---|
| 1972061828 | Freda L Malone | Social Worker | 175 Dwight Rd Ste 109, Longmeadow, MA 01106-1767 | 2019-03-11 |
| 1578044830 | Nancy Sklar | Social Worker | 210 Park Dr, Longmeadow, MA 01106-1277 | 2018-08-24 |
| 1841777612 | Jodi Alise Ditusa | Social Worker | 183 Hopkins Pl, Longmeadow, MA 01106-1944 | 2018-07-25 |
| 1124497102 | Donna Doyle-melchionna | Social Worker | 90 Ellington St, Longmeadow, MA 01106-1430 | 2015-09-19 |
| 1568800563 | Christen Lynne Maglio | Social Worker | 97 Roseland Ter, Longmeadow, MA 01106-1148 | 2013-06-12 |
| 1356645147 | Janet Quain-nowak | Social Worker | 1200 Converse St Ste 201, Longmeadow, MA 01106-1760 | 2011-01-07 |
| 1306030895 | Maria Del Mar Farina | Social Worker | 60 Woodside Dr, Longmeadow, MA 01106-2040 | 2007-08-28 |
| 1285833228 | Christine Ann Mirot | Social Worker | 175 Dwight Rd Ste 107, Longmeadow, MA 01106-1767 | 2007-07-11 |
| 1194848143 | Charlotte Lois Meyer | Social Worker | 567 Laurel St, Longmeadow, MA 01106-1915 | 2007-04-06 |
| 1093833048 | Lilly Gaev | Social Worker | Therapeutic Associates PC, 167 Dwight Rd #104, Longmeadow, MA 01106 | 2007-03-27 |
| Find all providers in LONGMEADOW | ||||
| City | LONGMEADOW |
| Zip Code | 01106 |
Please comment or provide details below to improve the information on WENDA MARION RESTALL.
| 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.