TARA JEAN WISE (NPI# 1972131100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972131100 |
| Entity Type | Individual |
| Full Name | TARA JEAN WISE |
| Other Name | TARA J CHAPDELAINE |
| Credential | LCSW |
| Practice Address |
1 Eaton Pl Worcester MA 01608-1232 |
| Mailing Address |
5 Neponset St Fl Street2 Worcester MA 01606-2714 |
| Practice Telephone | 5088560732 |
| Practice Fax Number | 5084255126 |
| Mailing Telephone | 5088560732 |
| Mailing Fax Number | 5084255126 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
224518 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003241662 | Tara Lynn Wise | Physical Therapist | 347 N Oak St, Mount Carmel, PA 17851-1427 | 2013-09-13 |
| 1851675219 | Tara E Wise | Military Health Care Provider | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2011-10-04 |
| 1104099159 | Tara L Wise | Case Manager/Care Coordinator | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2008-04-10 |
| Street Address |
1 EATON PL |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700873783 | Ahmad Daniyal Siddiqui | Internal Medicine | 1 Eaton Pl, Worcester, MA 01608-1232 | 2005-10-04 |
| 1982104287 | Donna Marie Lacerte-blais | Social Worker | 1 Eaton Pl, Worcester, MA 01608-1232 | 2018-02-14 |
| 1770985699 | Zoe Paleologos | Physician Assistant | 1 Eaton Pl, Worcester, MA 01608-1232 | 2014-09-23 |
| 1174922397 | Imaging Consultants Inc | Clinic/Center | 1 Eaton Pl, Worcester, MA 01608-1232 | 2014-08-14 |
| 1033536636 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 1 Eaton Pl, Worcester, MA 01608-1232 | 2014-03-21 |
| 1962564153 | James Dennis O'shea | Internal Medicine | 1 Eaton Pl, Ste 23, Worcester, MA 01608-1232 | 2006-12-14 |
| 1407917412 | Diane Lockhart | Surgery | 1 Eaton Pl, Suite 22, Worcester, MA 01608-1232 | 2006-12-13 |
| 1811933047 | William Barry Casey | Radiology | 1 Eaton Pl, Worcester, MA 01608-1232 | 2006-06-22 |
| 1215983358 | James J Rooney | Internal Medicine | 1 Eaton Pl, Suite 300, Worcester, MA 01608-1232 | 2006-05-26 |
| 1972572022 | Tracey M Hall | Nurse Practitioner | 1 Eaton Pl, St. Vincent Hosptial Breast Care Program One, Worcester, MA 01608-1232 | 2006-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| 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 |
|---|---|---|---|---|
| 1972116275 | Brittany Ford Ford | Social Worker | 51 Union St Ste 116, Worcester, MA 01608-1134 | 2020-08-26 |
| 1508494717 | Jessie M Quintero Johnson | Social Worker | Likemind Mental Health & Wellness, Inc, 51 Union Street, Suite 222, Worcester, MA 01608-1134 | 2020-04-01 |
| 1477188068 | Lindsey Poulin | Social Worker | 116 Belmont Street, Suite 31, Worcester, MA 01605-0160 | 2020-03-04 |
| 1750936456 | Margaret Arcouette | Social Worker | 270 Sunderland Rd Apt 56, Worcester, MA 01604-2552 | 2019-08-08 |
| 1841757721 | Damaris Gray | Social Worker | 430 Chandler St, Worcester, MA 01602-2916 | 2019-02-27 |
| 1518437649 | Joanne Lynne Calista | Social Worker | 35 Harvard St Ste 300, Worcester, MA 01609-2828 | 2018-12-02 |
| 1871062828 | Richard Edward Miller | Social Worker | 18 Ascadilla Rd, Worcester, MA 01606-1507 | 2018-11-20 |
| 1457835910 | Richard R. Alix Jr. | Social Worker | 26 Radmore St, Worcester, MA 01602-1741 | 2018-09-20 |
| 1023592854 | Thomas Daniel Hopkins | Social Worker | 382 Plantation St, Worcester, MA 01605-2324 | 2018-09-18 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| Find all providers in WORCESTER | ||||
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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.