MRS. SHARLA BETH RANDAZZO (NPI# 1952652232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952652232 |
| Entity Type | Individual |
| Full Name | MRS. SHARLA BETH RANDAZZO |
| Credential | LICSW |
| Practice Address |
454 Broadway Revere MA 02151-3034 |
| Practice Telephone | 7814858222 |
| Mailing Telephone | 7814858222 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1030348 | MA | Behavioral Health & Social Service Providers |
| Street Address |
454 BROADWAY |
| City | REVERE |
| State | MA |
| Zip Code | 02151-3034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809324 | Eileen Vitale | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2019-06-12 |
| 1760955660 | Tahji Mumford | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2019-01-03 |
| 1679044283 | Sarah N Wagner | Licensed Practical Nurse | 454 Broadway, Revere, MA 02151-3034 | 2018-12-07 |
| 1356850564 | Kristin Hawley | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2017-09-20 |
| 1063931327 | Leyanna Marie Williams | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2017-09-18 |
| 1114478625 | Crescentia Sieh | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2016-10-19 |
| 1427406941 | Andreia De Oliveira | Health Educator | 454 Broadway, Revere, MA 02151-3034 | 2016-05-25 |
| 1699122028 | Bridgett Alexander | Counselor | 454 Broadway, Revere, MA 02151-3034 | 2016-05-16 |
| 1639525520 | Israel Molina | Family Medicine | 454 Broadway, Revere, MA 02151-3034 | 2016-05-10 |
| 1710342175 | Stanley Gerald | Registered Nurse | 454 Broadway, Revere, MA 02151-3034 | 2015-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| 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 |
|---|---|---|---|---|
| 1881238962 | Elizabeth Broderick | Social Worker | 225 Beach St, Revere, MA 02151-3130 | 2019-11-01 |
| 1790260586 | Carol Broder | Social Worker | 108 Waite St, Revere, MA 02151-2400 | 2018-09-27 |
| 1174904536 | Lucia H. Milla-deangelo | Social Worker | 15 Everard Ave, Revere, MA 02151-5516 | 2015-06-11 |
| 1528309531 | Theresa Cary Guillaume | Social Worker | 11 Overlook Ridge Dr Apt 328, Revere, MA 02151-1159 | 2013-03-15 |
| 1538286919 | Polly Walker Grant | Social Worker | 300 Ocean Ave., Revere, MA 02151 | 2007-03-23 |
| 1255374369 | Rebecca Sperber Roge | Social Worker | 107 Newhall St, Revere, MA 02151 | 2006-06-14 |
| 1932756483 | William Lopez | Social Worker | 300 Ocean Ave, Revere, MA 02151-3675 | 2019-08-20 |
| 1003398900 | Karen Suttle | Social Worker | 15 Everard Ave, Revere, MA 02151-5516 | 2018-09-06 |
| 1366921819 | Lauren Kaitlin Kramer | Social Worker | 300 Ocean Ave, Revere, MA 02151-3675 | 2018-08-07 |
| 1609276328 | Mary Mcdonald | Social Worker | 300 Ocean Ave, 3d Floor, Revere, MA 02151-3675 | 2014-08-29 |
| Find all providers in REVERE | ||||
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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.