MISS TRACIE LEVENE (NPI# 1184933509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184933509 |
| Entity Type | Individual |
| Full Name | MISS TRACIE LEVENE |
| Practice Address |
500 North Main St Suite D Randolph MA 02368 |
| Mailing Address |
80 Grove St Randolph MA 02368-2946 |
| Practice Telephone | 7818857252 |
| Mailing Telephone | 6177971309 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
500 NORTH MAIN ST SUITE D |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1023636123 | Emily Tieu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-07-06 |
| 1538780309 | Jerilynn Mejia | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-05-02 |
| 1871124602 | Hasna Kazi | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
| 1851922686 | Jing Liu | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2020-01-30 |
| 1588203418 | Sothavy Doeur | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-12-23 |
| 1982248639 | Victoria A Tinsley | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-11-05 |
| 1336783083 | Rebecca Mondesir | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-11-05 |
| 1376195958 | Stephanie Montalvo | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-07-12 |
| 1013575315 | Elizabeth Depina Andrade | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-05-31 |
| 1225694680 | Miosotis Linnette Colon | Case Manager/Care Coordinator | 44 Diauto Dr, Randolph, MA 02368-4536 | 2019-05-11 |
| Find all providers in RANDOLPH | ||||
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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.