CLARISSA LYNETTE GARNETT (NPI# 1992017974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992017974 |
| Entity Type | Individual |
| Full Name | CLARISSA LYNETTE GARNETT |
| Credential | ME.D, CCDP-D, LADC |
| Practice Address |
4 Mayfair Ct Bloomfield CT 06002-3912 |
| Mailing Address |
182 Grand St Suite 420-422 Waterbury CT 06702-1914 |
| Practice Telephone | 8608837062 |
| Mailing Telephone | 8608837062 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000695 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1992017974 | 05 |
| Street Address |
4 MAYFAIR CT |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768664 | Jeff Chervenak | Counselor | 29 Juniper Rd, Bloomfield, CT 06002-2128 | 2020-04-07 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1497251623 | A Journey To- Wholeness, LLC | Counselor | 3 Barnard Ln Ste 306, Bloomfield, CT 06002-2495 | 2018-04-05 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1194028365 | Gregory M. Koufacos | Counselor | 32 Rector Pl, Bloomfield, NJ 07003-4031 | 2010-12-10 |
| 1750571931 | Robin Denise Osborn | Counselor | 206 S Prairie Street, Bloomfield, MO 63825 | 2007-07-25 |
| 1215001318 | Carol Jennett | Counselor | 170 Washington St, 5c, Bloomfield, NJ 07003-2477 | 2006-11-20 |
| 1205109915 | Sign of The Flying Turtle LLC | Counselor | 3 Barnard Ln, Suite 302, Bloomfield, CT 06002-2452 | 2012-02-13 |
| 1023319985 | Martin Jackson Sr. | Counselor | 3 Barnard Ln, Suite 112, Bloomfield, CT 06002-2452 | 2010-11-09 |
| 1295984599 | Milburn Cozort | Counselor | 206 S Prairie Street, Bloomfield, MO 63825 | 2008-09-11 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on CLARISSA LYNETTE GARNETT.
| 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.