Waheedah Abdul-Lateef, COUNSELOR AIDE-CHILD

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

79 Beacon St
Waterbury, CT 06704-3424

Phone

(203) 574-3311

Fax

(203) 574-3315

NPI assigned

Feb 18, 2011

Last updated

Feb 18, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Women and Childrens Program

  • Substance Abuse Rehabilitation Facility
  • Waterbury, CT
  • NPI 1942676523
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1265739726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021701",
            "telephone_number": "203-755-1143",
            "fax_number": "203-755-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BEACON ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067043424",
            "telephone_number": "203-574-3311",
            "fax_number": "203-574-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-LATEEF",
        "first_name": "WAHEEDAH",
        "credential": "COUNSELOR AIDE-CHILD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbot Terrace Health Center
• Abbott Terrace Health Center
• Abbott Terrace Health Center
• Abc-CT,LLC
• Shalima Abdalla
• Tariq M Abdulaziz, PH.D., LADC
• Abdulmasih Zarif, MD, LLC
• Anwar Esam Abdulrehman, APRN
• Bianca Abel, OT
• Renata Ventura Abiali

• Community Health Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Community Health Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.