WANDA MEDERO
Counselor (Addiction (Substance Use Disorder))

Address: 946 E 211th St, Bronx, NY 10469-1108

WANDA MEDERO (NPI# 1942894076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942894076
Entity Type Individual
Full Name WANDA MEDERO
Gender Female
Credential MSW, CASAC-T
Practice Address 946 E 211th St
Bronx
NY 10469-1108
Practice Telephone 7183233275
Mailing Address 946 E 211th St
Bronx
NY 10469-1108
Mailing Telephone 7186323275
Mailing Fax Number 7186321568
Certification Date 2021-03-01
Enumeration Date 2021-03-01
Last Update Date 2021-03-01
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Group License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
193400000X SINGLE SPECIALTY GROUP 36328 NY Behavioral Health & Social Service Providers

Office Location

Street Address 946 E 211TH ST
City BRONX
State NY
Zip Code 10469-1108

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609434315 Bereta Mills Counselor · Addiction (Substance Use Disorder) 946 E 211th St, Bronx, NY 10469-1108 2019-05-29
1477099836 Wendy Hoe Counselor · Addiction (Substance Use Disorder) 946 E 211th St, Bronx, NY 10469-1108 2017-01-10
1558759936 Tyrrell Carbury Counselor · Addiction (Substance Use Disorder) 946 E 211th St, Bronx, NY 10469-1108 2015-01-07

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1427670884 Morris Park Rehabilitation and Nursing Center LLC Skilled Nursing Facility 1235 Pelham Parkway North, Bronx, NY 10469 2020-05-08
1437705720 Wafaa Khoury Behavior Analyst Important Steps,Inc, 2447 Eastchester Road, Bronx, NY 10469 2019-08-13
1124671771 Arthur Chua Reyes Licensed Practical Nurse 2411 Wilson Ave, Bronx, NY 10469 2019-07-23
1033775432 Sally Mendoza Licensed Practical Nurse 2506 Woodhul Ave, Bronx, NY 10469 2019-05-13
1215495221 Fasilat Ibrahim Registered Nurse 1117 Adee St, Bronx, NY 10469 2019-03-08
1467922096 Patience Marku Kitcher Registered Nurse 954 East 211 Street, Bronx, NY 10469 2018-11-27
1316422546 Leon Anibal Guzman Registered Nurse · Registered Nurse First Assistant 3230 Paulding Ave 1fl, New York, NY 10469 2018-10-03
1205328358 Yesenia A. Arias Case Manager/Care Coordinator 1501 Astor Ave., Suite 1a, Bronx, NY 10469 2018-06-05
1720578719 Kimberly Carrion Alicea Psychologist · Clinical 2323 Eastchester Rd #27, Bronx, NY 10469 2018-05-15
1235627993 Kayon Donaldson · Kayon Francis Nurse Practitioner · Family 2904 Yates Ave, Bronx, NY 10469 2018-04-27
Find all providers in zip 10469

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740872886 Daiana Altagracia Mendez 5676 Riverdale Ave Ste 201, Bronx, NY 10471-2100 2021-02-10
1295321883 Morelis G Salgado 1157 Burke Ave Apt B, Bronx, NY 10469-5005 2020-12-17
1164024626 Jah-See Martin 804 E 138th St, Bronx, NY 10454-1932 2020-11-10
1386245595 Liliana Maria Calle 1510 Waters Pl Fl 2, Bronx, NY 10461-2700 2020-11-04
1245831528 Multi Assistance Resource Centers Inc. 509 Willis Ave Fl 4, Bronx, NY 10455-4001 2020-11-04
1235740614 Wilfredo Acevedo 1064 Franklin Ave, Bronx, NY 10456-6704 2020-08-11
1013528512 Koly J. Guilavogui 770 E 176th St Ste 315, Bronx, NY 10460-4617 2020-08-10
1689283905 Sherife Simnica 804 E 138th St, Bronx, NY 10454-1932 2020-07-23
1427676246 Jacqueline M Jaquez 770 E 176th St, Bronx, NY 10460-4617 2020-07-08
1881218063 Courtney Follweiler 609 Kappock St Apt 5c, Bronx, NY 10463-7777 2020-06-03
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10469

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Dataset Information

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.