MRS. ROBERTA ANN NAGLE (NPI# 1720168719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720168719 |
| Entity Type | Individual |
| Full Name | MRS. ROBERTA ANN NAGLE |
| Credential | LCSW LADAC1 |
| Practice Address |
585 Lincoln Street Worcester MA 01605 |
| Practice Telephone | 5088543320 |
| Practice Fax Number | 5087535051 |
| Mailing Telephone | 5088543320 |
| Mailing Fax Number | 5087535051 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
204233 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICID MENTAL HEALTH | 1308785 | 01 |
| MA | 1306421 | 05 | |
| MA | BCBS SUBSTANCE ABUSE | 2220002001 | 01 |
| MA | BCBS MH M18684 | 1308785 | 01 |
| Street Address |
585 LINCOLN STREET |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730295338 | Jane K Shropshire | Counselor | 585 Lincoln Street, Worcester, MA 01605 | 2006-08-23 |
| 1528429818 | Michelle Marie Fagnano | Social Worker | 585 Lincoln Street, Worcester, MA 01605 | 2016-03-14 |
| 1336578921 | Rachel Anne Carroll | Counselor | 585 Lincoln Street, Worcester, MA 01605 | 2013-11-05 |
| 1770687378 | Sherri L Westbury | Counselor | 585 Lincoln Street, Worcester, MA 01605 | 2006-09-12 |
| 1922102516 | Jeffrey A Laflash | Counselor | 585 Lincoln Street, Worcester, MA 01605 | 2006-09-12 |
| 1750497368 | Kevin M Stewart | Counselor | 585 Lincoln Street, Worcester, MA 01605 | 2006-08-23 |
| 1023124641 | Tina Brien Matthews | Counselor | 585 Lincoln Street, Worcester, MA 01605 | 2006-08-23 |
| 1881700490 | Robert T Nichols | Counselor | 585 Lincoln Street, Worcester, MA 01605 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184128522 | Noel Shawn Dennis | Counselor | 21 Catharine St, Worcester, MA 01605-2709 | 2018-03-21 |
| 1023512472 | Shane J Gadwah | Counselor | 15 Northampton St, Worcester, MA 01605-3415 | 2018-03-21 |
| 1760934095 | Amarsingh Integrative Counseling Services LLC | Counselor | 51 Union St Ste 314, Worcester, MA 01608-1134 | 2016-11-03 |
| 1598110306 | Tamara Cruz-vega | Counselor | 68 Perry Ave, Worcester, MA 01610-5108 | 2016-04-29 |
| 1316324379 | Pamela Daveau | Counselor | 107 Lincoln St., Adcare Hospital, Worcester, MA 01605 | 2015-04-29 |
| 1912245549 | Valerie Washington | Counselor | 75 Crescent St, Worcester, MA 01605-2406 | 2013-01-16 |
| 1417265588 | Miyan Y. Rodriguez | Counselor | 366 Wildwood Ave, Worcester, MA 01603-1656 | 2010-09-22 |
| 1447568274 | Jeanine L Paul | Counselor | 44 Front St Ste 490, Worcester, MA 01608-1742 | 2010-09-14 |
| 1265674931 | Debra Lynn Shilansky | Counselor | 411 Chandler St Ste 1, Worcester, MA 01602-3340 | 2009-03-27 |
| 1740431592 | Anne Marie Farmer | Counselor | 72 Jacques Ave, Worcester, MA 01610-2476 | 2008-10-09 |
| Find all providers in WORCESTER | ||||
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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.