AUDRIE L KARRAKER (NPI# 1730290743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730290743 |
| Entity Type | Individual |
| Full Name | AUDRIE L KARRAKER |
| Credential | LCSW |
| Practice Address |
790 Central Ave Bridgeport CT 06607-1705 |
| Mailing Address |
471 Barnum Ave Bridgeport CT 06608-2409 |
| Practice Telephone | 2033324567 |
| Practice Fax Number | 2033324568 |
| Mailing Telephone | 2033336864 |
| Mailing Fax Number | 2033320376 |
| Enumeration Date | 2006-08-31 |
| 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 |
006191 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | LICENSE | 006191 | 01 |
| Street Address |
790 CENTRAL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06607-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174893648 | Optimus Health Care Inc | Clinic/Center | 790 Central Ave, Bridgeport, CT 06607-1705 | 2011-12-30 |
| 1407178882 | Iveliz Oramas | Nurse Practitioner | 790 Central Ave, Bridgeport, CT 06607-1705 | 2010-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992723 | Connecticut Executive Caregivers LLC | Home Health | 800 Union Ave., Bridgeport, CT 06607 | 2018-11-27 |
| 1881839025 | Ark of Christ Ministries Inc | Social Worker | 510 Wilmot Ave, Bridgeport, CT 06607 | 2008-12-02 |
| 1841691540 | Heaven's Angels Agency | In Home Supportive Care | 130 Holly Street, Bridgeport, CT 06607-1035 | 2014-09-12 |
| 1508326323 | Tanya Maria Collazo | In Home Supportive Care | 32 3rd St, Bridgeport, CT 06607-1068 | 2019-03-20 |
| 1922580737 | Jacqueline Renee Scott | Counselor | 566 Wilmot Ave Unit 1, Bridgeport, CT 06607-1107 | 2018-08-29 |
| 1316479454 | Myron Dukes | Adult Companion | 955 Connecticut Ave, Ste 5305, Bridgeport, CT 06607-1224 | 2017-03-29 |
| 1346855954 | Hand To Hand LLC | Home Health | 955 Connecticut Ave, Bridgeport, CT 06607-1224 | 2020-09-10 |
| 1982120747 | Helen's Homecare | Adult Companion | 955 Connecticut Ave, #5305, Bridgeport, CT 06607-1297 | 2017-08-14 |
| 1225580087 | Lavant Garde Hair | Prosthetic/Orthotic Supplier | 580 Newfield Ave, Bridgeport, CT 06607-1718 | 2016-10-27 |
| 1548671969 | Jessica Mauro | Registered Nurse | 250 Hollister Ave, Bridgeport, CT 06607-1924 | 2014-05-20 |
| Find all providers in zip 06607 | ||||
| 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 |
|---|---|---|---|---|
| 1477163400 | Christine Rene Meredith | Social Worker | 505 Hovey St, Bridgeport, TX 76426-2923 | 2020-08-04 |
| 1225647597 | Synaptic Communications | Social Worker | 73 Seaside Ave, Bridgeport, CT 06605-3540 | 2020-07-23 |
| 1548878192 | Theresa Manuel | Social Worker | 325 Lafayette St Unit 3105, Bridgeport, CT 06604-5475 | 2020-07-20 |
| 1396306015 | Shanika Rucker | Social Worker | 1000 Lafayette Blvd Ste 1105, Bridgeport, CT 06604-4725 | 2019-06-24 |
| 1780147322 | Rashanee Green-younger | Social Worker | 53 Louisiana Ave, Bridgeport, CT 06610-1542 | 2019-04-10 |
| 1396230801 | Victoria Zoeller | Social Worker | 140 John St, Bridgeport, CT 06604-4323 | 2018-06-27 |
| 1396252276 | Marriott Lpc | Social Worker | 3715 Main St Ste 402, Bridgeport, CT 06606-3611 | 2018-01-02 |
| 1477068203 | Tonisha Keon Cohen-king | Social Worker | 957 Evers Street Ext, Bridgeport, CT 06610-1261 | 2017-12-01 |
| 1073027322 | Cristine Connor | Social Worker | 154 Glenbrook Rd, Bridgeport, CT 06610-1149 | 2017-11-23 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06607 |
Please comment or provide details below to improve the information on AUDRIE L KARRAKER.
| 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.