MR. WALDEMAR GRACIA (NPI# 1851481212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851481212 |
| Entity Type | Individual |
| Full Name | MR. WALDEMAR GRACIA |
| Credential | MBA MS LADC |
| Practice Address |
45 Wadsworth Street Hartford CT 06106-5035 |
| Mailing Address |
70 Blacksmith Drive Middletown CT 06457-2072 |
| Practice Telephone | 8605271124 |
| Practice Fax Number | 8607242539 |
| Mailing Telephone | 8605271124 |
| Mailing Fax Number | 8607242539 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2008-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000486 | CT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 000317 | PR | Behavioral Health & Social Service Providers |
| Street Address |
45 WADSWORTH STREET |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-5035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720176977 | Pantazi G. Argintaru | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2006-10-11 |
| 1922648286 | Allison Tomo | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2020-01-14 |
| 1992942619 | Douglas Malcolm Nelson | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2009-01-16 |
| 1003052960 | Carla Verlaine Brooks | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2008-12-26 |
| 1093990996 | Lisa Jenny Jainchill | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2008-01-09 |
| 1568647659 | Elina Colon | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2008-01-08 |
| 1669668679 | Amarylliis Frances Stevens | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2007-09-24 |
| 1194922914 | Zuleika Ivette Cruz | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2007-06-27 |
| 1104022466 | Evelyn Ramos | Counselor | 45 Wadsworth Street, Hartford, CT 06106 | 2007-06-25 |
| 1881805737 | Juan Daniel Brito | Social Worker | 45 Wadsworth Street, Hartford, CT 06106 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164064044 | Shawn Tyson | Counselor | 330 Main St Fl 1, Hartford, CT 06106-1851 | 2019-10-12 |
| 1114401510 | Roberto Carlos Vargas | Counselor | 926 Asylum Ave Apt 206, Hartford, CT 06105-2402 | 2018-09-20 |
| 1053859553 | Michael Heaven | Counselor | 601 Blue Hills Ave, Apt B2, Hartford, CT 06112-1254 | 2017-02-03 |
| 1043678063 | Daisy Baez | Counselor | 59 Nelson St, Hartford, CT 06120-2041 | 2016-02-04 |
| 1821495391 | Halcyon Clinical Services, LLC | Counselor | 75 Charter Oak Ave, Hartford, CT 06106-1903 | 2014-11-29 |
| 1346654399 | Edward Gonzalez | Counselor | 27 May Street 2nd Floor, Hartford, CT 06104 | 2014-06-18 |
| 1306100367 | Marco Neves | Counselor | 106 Standish St, Hartford, CT 06114-2936 | 2012-06-25 |
| 1275804874 | Ray T. Bishop | Counselor | 16 Weston St, Hartford, CT 06120-1504 | 2012-01-13 |
| 1144591710 | Philip Frederick Richmond | Counselor | 18 Weston St, Hartford, CT 06120-1504 | 2012-01-13 |
| 1871862789 | Latino Community Services, Inc. | Counselor | 221 Main St Fl 3, Hartford, CT 06106-1890 | 2011-12-21 |
| Find all providers in HARTFORD | ||||
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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.