BRANDON LILLARD (NPI# 1962882324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962882324 |
| Entity Type | Individual |
| Full Name | BRANDON LILLARD |
| Credential | BA |
| Practice Address |
402 E Main St Waterbury CT 06702-1701 |
| Mailing Address |
141 E Main St 4th Floor Administration Waterbury CT 06702-2310 |
| Practice Telephone | 2037551143 |
| Practice Fax Number | 2037533274 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| 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 |
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| 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 | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346643384 | Nepomorrosa Gonzalez | Case Manager/Care Coordinator | 143 Willow St, Waterbury, CT 06710-2012 | 2014-10-05 |
| 1407174287 | Robert Riddick | Case Manager/Care Coordinator | 142 Griggs Street, Waterbury, CT 06702-1701 | 2010-05-04 |
| 1639618069 | Leslie Pinto | Case Manager/Care Coordinator | 141 E Main St, Waterbury, CT 06702-2310 | 2017-02-17 |
| 1437693652 | Briannery Bejaran | Case Manager/Care Coordinator | 141 E Main St, Waterbury, CT 06702-2310 | 2016-12-07 |
| 1255875415 | Laura Ditillo | Case Manager/Care Coordinator | 141 E Main St, Waterbury, CT 06702-2310 | 2016-12-07 |
| 1760936686 | Arlene Arce | Case Manager/Care Coordinator | 402 E Main St, Waterbury Op Adult Services Mst Bsf, Waterbury, CT 06702-1701 | 2016-08-09 |
| 1568916864 | Ricardo A Desouza | Case Manager/Care Coordinator | 402 E Main St, Waterbury Op Behavioral Health Services Ivp Family, Waterbury, CT 06702-1701 | 2016-08-04 |
| 1467810556 | Lindsey Mcdermott | Case Manager/Care Coordinator | 402 E Main St, Adult Services, Waterbury, CT 06702-1701 | 2016-02-03 |
| 1760852438 | Maria Zepeda-flores | Case Manager/Care Coordinator | 402 E Main St, Waterbury Adult Op Services, Waterbury, CT 06702-1701 | 2015-10-06 |
| 1467837732 | Matthew D Dowling | Case Manager/Care Coordinator | 402 E Main St, Waterbury Op Adult Services, Waterbury, CT 06702-1701 | 2015-07-28 |
| 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.