ATHINA MIZERO (NPI# 1861054082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861054082 |
| Entity Type | Individual |
| Full Name | ATHINA MIZERO |
| Credential | LMSW |
| Practice Address |
13640 State Route 22 Canaan NY 12029-3506 |
| Mailing Address |
123 Ryckman Ave Apt 3r Albany NY 12208-2281 |
| Practice Telephone | 5187814567 |
| Mailing Telephone | 6319440817 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 099901 | NY | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
099901 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LISCENSE NUMBER | 099901 | 01 |
| Street Address |
13640 STATE ROUTE 22 |
| City | CANAAN |
| State | NY |
| Zip Code | 12029-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457680373 | Albert Rothenberg | Psychiatry & Neurology | 52 Pine Ridge Road, Canaan, NY 12029 | 2009-12-24 |
| 1598802514 | Berkshire Farm Center and Services for Youth | Substance Abuse Rehabilitation Facility | 13640 Rte 22, Canaan, NY 12029 | 2007-01-31 |
| 1245351170 | Berkshire Farm Center and Services for Youth | Voluntary or Charitable | 13640 Rte 22, Canaan, NY 12029 | 2007-04-02 |
| 1265588669 | Louise Maron | Psychologist | 40 State Route 102, Canaan, NY 12029-2109 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356988653 | Ann Mary Lawler | Technician | 545 Hinckley Rd, Canaan, ME 04924-3308 | 2019-12-05 |
| 1063071397 | Adam Cooper Eckhardt | Registered Nurse | 405 W Farms Rd, Canaan, NH 03741-7514 | 2019-06-11 |
| 1942767017 | Town of Canaan | Ambulance | 56 Nh Rt 118, Canaan, NH 03741 | 2019-02-26 |
| 1942792379 | Kathleen Takach | Dentist | Mascoma Community Healthcare, 18 Roberts Road, Canaan, NH 03741 | 2018-06-01 |
| 1396244141 | Erin Marchesseault | Specialist/Technologist | 835 Vt Route 114, Canaan, VT 05903-9777 | 2018-02-07 |
| 1437686466 | Michelle Anne Blackburn | Occupational Therapist | 77 S Canaan Rd, Canaan, CT 06018-2517 | 2017-05-22 |
| 1386183937 | Juanita Lock | Nurse Practitioner | 10051 N State Road 62, Canaan, IN 47224-9759 | 2017-02-15 |
| 1861938409 | Courtney Vorachak | Peer Specialist | 44 Roberts Rd, Canaan, NH 03741-7644 | 2017-01-06 |
| 1629510821 | Mary Ellen Banaszek | Registered Nurse | 124 Lancaster Rd, Canaan, ME 04924-3136 | 2016-11-06 |
| 1609320977 | Mccall Foundation, Inc | Clinic/Center | 83 S Canaan Rd, Canaan, CT 06018-2502 | 2016-08-04 |
| Find all providers in CANAAN | ||||
| 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 |
|---|---|---|---|---|
| 1780038331 | Lisa Beth Westerson | Social Worker | 187 South Canaan Road, Canaan, CT 06018 | 2016-04-20 |
| 1134526239 | Janet Downes Lcsw LLC | Social Worker | 194 Ashley Falls Rd, Canaan, CT 06018-2014 | 2014-12-04 |
| 1396141933 | Rebekah Eve Carter | Social Worker | 358 Canaan St, Canaan, NH 03741-7622 | 2014-11-10 |
| 1285807438 | Teresa Marie Halligan | Social Worker | 253 Gale Street, Canaan, VT 05903 | 2008-04-09 |
| 1992274427 | Anthony Joseph Nave Jr. | Social Worker | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2018-11-14 |
| 1093753808 | Debra M Carroll | Social Worker | 28 E Main St, Canaan, CT 06018-2508 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.