MS. PRISCILLA R TYSON (NPI# 1942327655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942327655 |
| Entity Type | Individual |
| Full Name | MS. PRISCILLA R TYSON |
| Credential | MSW, LADC |
| Practice Address |
402 E Main St Waterbury CT 06702-1701 |
| Mailing Address |
141 E Main St Waterbury CT 06702-2310 |
| Practice Telephone | 2037551143 |
| Practice Fax Number | 2037551447 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 000997 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008049743 | 05 |
| Street Address |
402 E MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743469 | Alisha Sanders | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-09-04 |
| 1275147472 | Cody Helgesen | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-09-04 |
| 1952913006 | Christine Cagle | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-08-20 |
| 1518579804 | George Ramos | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-08-19 |
| 1083237861 | Shalima Abdalla | Physician Assistant | 402 E Main St, Waterbury, CT 06702-1701 | 2020-05-27 |
| 1295360469 | Yvette Bonilla | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-03-09 |
| 1730714270 | Bryam Silva | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-03-05 |
| 1396379665 | Kristina Johnson | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-26 |
| 1972135143 | Geovanny Gallegos | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2020-02-06 |
| 1821630211 | Leskia Vazquez | Student in an Organized Health Care Education/Training Program | 402 E Main St, Waterbury, CT 06702-1701 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740784503 | Summer Marie Battle | Social Worker | 80 Phoenix Ave Ste 103, Waterbury, CT 06702-1418 | 2018-03-19 |
| 1215463419 | Lidia Vittoria Verdura | Social Worker | 301 Highland Avenue, Waterbury, CT 06708-1803 | 2017-05-08 |
| 1750752689 | Sandra Tapia-arcos | Social Worker | 299 E Main St, Waterbury, CT 06702-2308 | 2015-10-19 |
| 1366834681 | Beth Marie Chevere Vega | Social Worker | 3 Sycamore Ln, Waterbury, CT 06705-1832 | 2015-02-24 |
| 1437557212 | Himilce Marino | Social Worker | 279 Oakville Ave, A27, Waterbury, CT 06708-1637 | 2014-12-10 |
| 1114321247 | Rosaline Brown | Social Worker | 149 National Ave, Waterbury, CT 06705-2425 | 2014-10-17 |
| 1417285909 | Lacey A Brandon | Social Worker | 77-79 Bishop Street, Waterbury, CT 06710-1610 | 2009-11-23 |
| 1891927398 | Nicole L. Kroeber | Social Worker | 925 Oronoke Rd Unit 26h, Waterbury, CT 06708-3976 | 2009-08-17 |
| 1437390655 | Martin Sinclair Perry | Social Worker | 141 E Main St Fl 1, Waterbury, CT 06702-2310 | 2009-03-18 |
| 1407093339 | Evelyn Delcarmen Diaz | Social Worker | 488 Perkins Ave Unit 2-3, Waterbury, CT 06704-1979 | 2009-01-14 |
| Find all providers in WATERBURY | ||||
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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.