SHAWN TARDIF (NPI# 1851921340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851921340 |
| Entity Type | Individual |
| Full Name | SHAWN TARDIF |
| Practice Address |
43 Woodland St Hartford CT 06105-2363 |
| Mailing Address |
115 Nancy Rd New Britain CT 06053-2220 |
| Practice Telephone | 8887933500 |
| Mailing Telephone | 8609678573 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
43 WOODLAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730148909 | Lynn Keyes Davis | Specialist | 43 Woodland St, Suite G-80, Gothic Park, Hartford, CT 06105-2363 | 2006-03-17 |
| 1710587688 | Antonia Sanchez-digrazia | Counselor | 43 Woodland St, Hartford, CT 06105-2363 | 2020-10-29 |
| 1265039911 | Samuel Gipstein | Student in an Organized Health Care Education/Training Program | 43 Woodland St, Hartford, CT 06105-2363 | 2020-10-06 |
| 1619584364 | Laura Elizabeth Sheridan | Registered Nurse | 43 Woodland St, Hartford, CT 06105-2363 | 2020-09-27 |
| 1366056962 | Kimberly Gaznabie | Registered Nurse | 43 Woodland St, Hartford, CT 06105-2363 | 2020-09-02 |
| 1427675594 | Elizabeth Edgaro | Social Worker | 43 Woodland St, Hartford, CT 06105-2363 | 2020-07-06 |
| 1760009914 | Paulette Simon | Registered Nurse | 43 Woodland St, Hartford, CT 06105-2363 | 2020-07-02 |
| 1679197339 | Andea Yvette Bonds | Registered Nurse | 43 Woodland St, Hartford, CT 06105-2363 | 2020-05-28 |
| 1932720133 | Samantha Ann Schiffer | Social Worker | 43 Woodland St, Hartford, CT 06105-2363 | 2020-04-29 |
| 1689295099 | Lourdes Marie Garcia | Social Worker | 43 Woodland St, Hartford, CT 06105-2363 | 2020-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| 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.