CLARENCE D GONSALVES (NPI# 1144496878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144496878 |
| Entity Type | Individual |
| Full Name | CLARENCE D GONSALVES |
| Practice Address |
321 Blue Hill Ave Boston MA 02121-4302 |
| Mailing Address |
84 Mount Vernon St # 2 Malden MA 02148-6714 |
| Practice Telephone | 6175416859 |
| Mailing Telephone | 8572477425 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2011-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | S71703937 | MA | Other Service Providers |
| Street Address |
321 BLUE HILL AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02121-4302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992233563 | Lemuel Vassar Mills Jr. | Counselor | 321 Blue Hill Ave, Boston, MA 02121-4302 | 2017-05-26 |
| 1891169710 | Davine Louise Holness | Social Worker | 321 Blue Hill Ave, Boston, MA 02121-4302 | 2015-11-16 |
| 1962872440 | Roxbury Multi-service Center | Community/Behavioral Health | 321 Blue Hill Ave, Boston, MA 02121-4302 | 2015-09-28 |
| 1740666999 | Kerry Penta | Behavioral Analyst | 321 Blue Hill Ave, Boston, MA 02121-4302 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502071 | Zion Ventures Inc. | Registered Nurse | 22 Oldfields Road, Apt 1, Boston, MA 02121 | 2019-08-09 |
| 1245758275 | Danna Caliz | Social Worker | 321 Bluehill Ave, Boston, MA 02121 | 2017-08-30 |
| 1619490331 | Rashane Doyle | Developmental Therapist | 39 Mclellan St, Boston, MA 02121 | 2017-07-25 |
| 1134652175 | Sage Family Dental | Dentist | 114 Washington Street, Dorchester, MA 02121 | 2017-04-06 |
| 1619415353 | Khisha Gillham | Registered Nurse | 356 Seaver St, Boston, MA 02121 | 2017-02-02 |
| 1396283149 | Spaulding | Rehabilitation Unit | 356 Sever St, Boston, MA 02121 | 2017-02-01 |
| 1811431935 | Jennifer Latoya Corbin | Social Worker | 321 Blue Hill Avenue, Dorchester, MA 02121 | 2016-12-08 |
| 1932597499 | Sheila Brown | Nurse Practitioner | 218 Humboldt Avenue, Boston, MA 02121 | 2015-01-06 |
| 1629498605 | Liana Marie Williams | Behavioral Analyst | 434 Warren St., Roxbury, MA 02121 | 2014-04-17 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| Find all providers in zip 02121 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1326696238 | Maria Rodriguez Torres | Case Manager/Care Coordinator | 37 Bowdoin St, Boston, MA 02114-4201 | 2019-09-04 |
| 1346894136 | Audrey Armelle Ndombou | Case Manager/Care Coordinator | 1640 Washington St Boston, Boston, MA 02118 | 2019-07-30 |
| 1780241554 | Neusa De Pina | Case Manager/Care Coordinator | 11640 Washinton Street, Boston, MA 02118 | 2019-05-28 |
| 1821552217 | Joshua A Fonfield | Case Manager/Care Coordinator | 1010 Massachussetts Avenue, Boston, MA 02118-2600 | 2019-01-30 |
| 1699244814 | Hailey Zanes | Case Manager/Care Coordinator | 66 Canal St Fl 4, Boston, MA 02114-2002 | 2018-11-16 |
| 1821581018 | Diane Joseph | Case Manager/Care Coordinator | 31 Woodruff Way, Boston, MA 02126-2610 | 2018-06-12 |
| 1801390059 | Tamanna Tasnim Haque | Case Manager/Care Coordinator | 109 Peterborough St Apt 24, Boston, MA 02215-4225 | 2018-03-22 |
| 1790200673 | Angelina Gneiting | Case Manager/Care Coordinator | 13335 Durantes Curv, Boston, VA 22713-4229 | 2017-08-11 |
| 1083022065 | Cyril Jaundoo IIi | Case Manager/Care Coordinator | 30 Meadowbank Ave, Boston, MA 02126-2726 | 2014-07-23 |
| Find all providers in BOSTON | ||||
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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.