SUSAN MANDRACHIA KILLEBREW (NPI# 1760660773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760660773 |
| Entity Type | Individual |
| Full Name | SUSAN MANDRACHIA KILLEBREW |
| Credential | MSW |
| Practice Address |
107 Clock Tower Square Portsmouth RI 02871 |
| Mailing Address |
15 Clarke St #1 Newport RI 02840-3047 |
| Practice Telephone | 4016837600 |
| Practice Fax Number | 4016835415 |
| Mailing Telephone | 4018474115 |
| Mailing Fax Number | 4018478737 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW00095 | RI | Behavioral Health & Social Service Providers |
| Street Address |
107 CLOCK TOWER SQUARE |
| City | PORTSMOUTH |
| State | RI |
| Zip Code | 02871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487028783 | Jocelyn Arruda | Marriage & Family Therapist | 275 Mccorrie Lane, Portsmouth, RI 02871 | 2015-11-24 |
| 1841587417 | Visiting Nurse Services of Newport and Bristol Counties | Clinic/Center | 1184 East Main Road, Portsmouth, RI 02871 | 2011-07-05 |
| 1831483148 | James Patrick Nolan | Pathology | 150 Carnegie Harbor Drive, Portsmouth, RI 02871 | 2011-06-03 |
| 1720378623 | Thomas Francis Reitano | Pharmacist | 3034 East Main Rd, Portsmouth, RI 02871 | 2011-04-12 |
| 1063716793 | Amber Kaltenstein | Psychologist | 2820 E Main Rd, Portsmouth, RI 02871 | 2011-01-10 |
| 1235348335 | East Bay Endoscopy Center LLC | Clinic/Center | 109 Clock Tower Square, Portsmouth, RI 02871 | 2007-05-22 |
| 1346369147 | Todd Matthew Carbone | Physical Therapy Assistant | 459 Wapping Rd, Portsmouth, RI 02871 | 2007-03-29 |
| 1952436032 | Newport County Regional Special Education | Local Education Agency (LEA) | Elmhurst School, 1 Frank Coelho Drive, Portsmouth, RI 02871 | 2007-02-22 |
| 1437292760 | Aquidneck Dental, Inc. | Dentist | 21 King Charles Drive, Portsmouth, RI 02871 | 2007-02-15 |
| 1235276395 | Christine Miller Bandoni | Social Worker | 10 King Charles Dr., Bldg. 100 Suite 107, Portsmouth, RI 02871 | 2007-01-30 |
| Find all providers in zip 02871 | ||||
| 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 |
|---|---|---|---|---|
| 1831702588 | Shery Lynne Harrell | Social Worker | 1109 Melvin Dr, Portsmouth, VA 23701-1338 | 2020-08-24 |
| 1437650413 | Daniel Ray Mathuews Jr. | Social Worker | 602 Chillicothe St Ste 111, Portsmouth, OH 45662-4093 | 2018-02-23 |
| 1033648175 | Mary Boucher | Social Worker | 1000 Market St Ste 104, Portsmouth, NH 03801-3358 | 2017-06-11 |
| 1265978456 | Lynn Piersall | Social Worker | 4416 Duke Dr, Portsmouth, VA 23703-4915 | 2017-01-11 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1609286665 | Mary Beth Bloser, Licsw | Social Worker | 20 Ladd St Ste 400, Portsmouth, NH 03801-4089 | 2014-04-30 |
| 1962754085 | Family Solutions, Inc | Social Worker | 1412 Mt Vernon Ave, Portsmouth, VA 23707-3510 | 2012-10-12 |
| 1912285982 | Danielle A Thibert | Social Worker | 101 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2011-07-25 |
| 1417245374 | Jennifer Lh Gaudreau | Social Worker | 118 Maplewood Ave Bldg A2nd, Portsmouth, NH 03801-3787 | 2011-07-13 |
| 1730490335 | Julia Ovalle | Social Worker | 7 Greenleaf Woods Dr, Unit 202, Portsmouth, NH 03801-5444 | 2010-06-29 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 02871 |
Please comment or provide details below to improve the information on SUSAN MANDRACHIA KILLEBREW.
| 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.