KERRY ANDERSON (NPI# 1992326375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992326375 |
| Entity Type | Individual |
| Full Name | KERRY ANDERSON |
| Practice Address |
31 Industrial Blvd Medford NY 11763-2220 |
| Practice Telephone | 6319244411 |
| Practice Fax Number | 6319244454 |
| Mailing Telephone | 6319244411 |
| Mailing Fax Number | 6319244454 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356812309 | Kerry Lynn Anderson | Nurse Practitioner | 25 Scotch Rd Ste A, Ewing, NJ 08628-2500 | 2018-12-16 |
| 1346763927 | Kerry A Anderson | Nurse Practitioner | 282 Route 101 # Units910, Amherst, NH 03031-1706 | 2017-07-25 |
| 1851404628 | Kerry Scot Anderson | Optometrist | 14335 Pipeline Ave, Chino, CA 91710-5642 | 2006-08-16 |
| 1205469210 | Kerry Leigh Anderson | Counselor | 1045 James St, Syracuse, NY 13203-2730 | 2020-02-18 |
| 1346785698 | Kerry Marie Anderson | Counselor | 55 Carleton Ave, East Islip, NY 11730-2133 | 2016-12-22 |
| 1679028989 | Kerry Anderson | Nurse Practitioner | 9200 W Wisconsin Ave, Orthopaedic Surgery, Milwaukee, WI 53226-3522 | 2016-08-17 |
| 1457783375 | Kerry Lynn Anderson | Pharmacist | 1401 2nd Ave, T-2786, Seattle, WA 98101-2187 | 2013-08-01 |
| 1184760977 | Kerry Lea Anderson | Counselor | 2600 Grand Ave, Suite 312, Des Moines, IA 50312-5375 | 2007-01-29 |
| 1659310829 | Kerry W Anderson | Podiatrist | 809 N Liberty St, Boise, ID 83704-8703 | 2006-06-05 |
| Street Address |
31 INDUSTRIAL BLVD |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265646087 | Tracy A. Cullen | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2007-05-10 |
| 1609316504 | Darlene Lewis | Social Worker | 31 Industrial Blvd, Medford, NY 11763-2220 | 2017-02-27 |
| 1760922652 | Michelle Muller | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2017-02-27 |
| 1962859488 | Mcreynald Balthazar | Registered Nurse | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-05-16 |
| 1912369224 | Gail Rudy-giannino | Counselor | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-25 |
| 1952763716 | Kathleen Lao | Counselor | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1790147411 | The Yaphank Center | Community/Behavioral Health | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1770945552 | Marilyn Clarke | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1447612171 | Thomas Gaynor | Rehabilitation Practitioner | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-22 |
| 1265893507 | Beth Ann Boss | Peer Specialist | 31 Industrial Blvd, Medford, NY 11763-2220 | 2016-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| 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 |
|---|---|---|---|---|
| 1174124226 | Shane William Macdonald | Social Worker | 20 Stearns Ave, Medford, MA 02155-5620 | 2020-11-05 |
| 1851925762 | Tracey Marie Damrau | Social Worker | 879 Old Medford Ave, Medford, NY 11763-2660 | 2020-02-29 |
| 1326696261 | Marlee Starr Thompson | Social Worker | 5 High St Ste 1, Medford, MA 02155-3800 | 2019-09-03 |
| 1447810759 | Kescha Murphy | Social Worker | 1735 N Ocean Ave Ste 5, Medford, NY 11763-2671 | 2019-06-18 |
| 1902366198 | Regina Marie Ely | Social Worker | 2799 Medford Ave Ste 11, Medford, NY 11763-2535 | 2019-03-22 |
| 1639654353 | Joan Matteuzzi | Social Worker | 35 Dianne Rd, Medford, MA 02155-1542 | 2018-09-27 |
| 1588161707 | Claudel Chevry | Social Worker | 4 Exchange Ave, Medford, MA 02155-6309 | 2018-04-13 |
| 1316302474 | Nancy Zukowski | Social Worker | 6 Victorian Ln, Medford, NY 11763-2573 | 2015-12-16 |
| 1003283664 | Christina Maria Conforto | Social Worker | 9 Yale St, Apartment 1, Medford, MA 02155-6029 | 2015-08-28 |
| 1093109746 | Maka Osman | Social Worker | 789 Fellsway W, Medford, MA 02155-1217 | 2015-03-20 |
| Find all providers in MEDFORD | ||||
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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.