MS. TERRI LEE WALLER (NPI# 1992840284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992840284 |
| Entity Type | Individual |
| Full Name | MS. TERRI LEE WALLER |
| Credential | LCSW |
| Practice Address |
34 Park St Connecticut Mental Health Center New Haven CT 06519 |
| Mailing Address |
34 Park St Connecticut Mental Health Center Office of Care Mgmt New Haven CT 06519 |
| Practice Telephone | 2039747417 |
| Practice Fax Number | 2039747413 |
| Mailing Telephone | 2039747417 |
| Mailing Fax Number | 2039747413 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
005627 | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285983353 | Terri Waller | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2012-09-05 |
| Street Address |
34 PARK ST CONNECTICUT MENTAL HEALTH CENTER |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162170 | Laura Yoviene Sykes | Psychologist | 34 Park St, New Haven, CT 06519-1109 | 2019-06-11 |
| 1487218228 | Josina Aileen James | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2019-04-26 |
| 1699245845 | Brittany Quagan | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2018-11-30 |
| 1750874392 | Vikiana Gray | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2018-06-08 |
| 1962931030 | Guinell L Stanley | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2017-06-12 |
| 1629436258 | Michael Suraci | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2016-02-10 |
| 1093170524 | Jeanne Leblanc | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2015-12-29 |
| 1326424938 | Mayra A Aguirre | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2015-08-05 |
| 1346637360 | Emma Ava Lo | Psychiatry & Neurology | 34 Park St, Acute Services, New Haven, CT 06519 | 2015-04-16 |
| 1811382872 | Carmen Gabrielle Parker | Psychiatry & Neurology | 34 Park St, New Haven, CT 06519-1109 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| 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 |
|---|---|---|---|---|
| 1487252995 | Peter James Butler | Social Worker | 580 Dixwell Ave, New Haven, CT 06511-1744 | 2020-10-16 |
| 1639785363 | Rita J Wagner | Social Worker | 81 Lenox St, New Haven, CT 06513-4420 | 2020-09-18 |
| 1659983740 | Neta Korem | Social Worker | 135 Canner St, New Haven, CT 06511-2201 | 2020-08-19 |
| 1568074136 | Jalena Louise Robertson Adams | Social Worker | 2218 Lyons Station Rd, New Haven, KY 40051-8723 | 2020-08-17 |
| 1588272744 | Angela Monique Avery | Social Worker | 1423 Chapel St Ste 2r, New Haven, CT 06511-4411 | 2020-07-14 |
| 1427675255 | Tatiana Martinez | Social Worker | 350 George St Fl 2, New Haven, CT 06511-6617 | 2020-06-27 |
| 1275167959 | Cheyenne Taylor | Social Worker | 911-913 State St, Sscs, New Haven, CT 06511-3926 | 2020-03-03 |
| 1093349862 | Becoming You Therapy | Social Worker | 14 Trumbull St Ste 103, New Haven, CT 06511-6312 | 2020-03-02 |
| 1245880418 | Estela Lopez-de Lara | Social Worker | 455 Orange St Ofc 1, New Haven, CT 06511-6202 | 2019-09-18 |
| 1710549753 | Adna Linden | Social Worker | 35 Elm St Ste 1c, New Haven, CT 06510-2023 | 2019-06-30 |
| Find all providers in NEW HAVEN | ||||
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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.