JACQULINE ZIEMBA (NPI# 1740481449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740481449 |
| Entity Type | Individual |
| Full Name | JACQULINE ZIEMBA |
| Other Name | JACQULINE BLACKMORE |
| Practice Address |
1046 Fairfield Ave Bridgeport CT 06605-1116 |
| Practice Telephone | 2033306054 |
| Practice Fax Number | 2033314716 |
| Mailing Telephone | 2033306054 |
| Mailing Fax Number | 2033314716 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 101YA0400X | CT | Behavioral Health & Social Service Providers |
| Street Address |
1046 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932319555 | Robert Skane | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2007-05-23 |
| 1306459094 | Andrea Cristina Rivadeneira | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2020-08-24 |
| 1649814351 | Martha Catherina Velasco | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-11-06 |
| 1952945727 | Mara E Richardson | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-11-04 |
| 1023675873 | South- West Community Health Center, Inc | Clinic/Center | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-05-28 |
| 1043797020 | Tara Concetta O'neil | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2018-07-23 |
| 1639684111 | Julienne Gousse | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-12-06 |
| 1366951758 | Miranda Leah Demirjian | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-09-28 |
| 1407307119 | Southwest Community Health Center | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605 | 2016-10-18 |
| 1316351521 | Richard Dunn | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144876392 | Redeem Wellness Center, LLC | Marriage & Family Therapist | 3180 Main St Ste 106, Bridgeport, CT 06606-4237 | 2019-08-14 |
| 1972912129 | Andria Rodriguez | Marriage & Family Therapist | 1000 Lafayette Blvd, Bridgeport, CT 06604-4725 | 2014-08-12 |
| 1184948473 | Norja E Cunningham | Marriage & Family Therapist | 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 | 2010-03-16 |
| 1639338833 | Jessica Ann Nelson | Marriage & Family Therapist | 120 Clarkson St, Bridgeport, CT 06605-3240 | 2008-06-03 |
| 1396809281 | Todd David Tuozzoli | Marriage & Family Therapist | 2819 Main St, Bridgeport, CT 06606-4202 | 2006-12-22 |
| 1194831198 | Adriane Iris Mcneely | Marriage & Family Therapist | 1653 Capitol Ave, Suite 2, Bridgeport, CT 06604-1525 | 2006-08-22 |
| 1306864244 | Sooyeon Lee-garland | Marriage & Family Therapist | 370 Lake Ave, Bridgeport, CT 06605-3515 | 2006-07-18 |
| 1578550497 | Stephanie Gallagher | Marriage & Family Therapist | 170 Bennett St, Bridgeport, CT 06605-2901 | 2005-10-05 |
| 1730728791 | Mesheka Michelle Lowers | Marriage & Family Therapist | 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604-4710 | 2019-12-22 |
| 1891345401 | Andria Rodriguez LLC | Marriage & Family Therapist | 1000 Lafayette Blvd Fl 11, Bridgeport, CT 06604-4725 | 2019-09-16 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
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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.