JENNIFER MORWAY BALESTRACCI (NPI# 1205302742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205302742 |
| Entity Type | Individual |
| Full Name | JENNIFER MORWAY BALESTRACCI |
| Credential | LICSW, SAC |
| Practice Address |
57 Old Muggett Hill Rd Charlton MA 01507-1331 |
| Mailing Address |
14 Tower Hill Rd Oxford MA 01540-2613 |
| Practice Telephone | 5082485971 |
| Practice Fax Number | 5082484747 |
| Mailing Telephone | 5082485971 |
| Mailing Fax Number | 5082484747 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
1387037 | MA | Behavioral Health & Social Service Providers |
| Street Address |
57 OLD MUGGETT HILL RD |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851424451 | Southern Worcester County Regional Vocational School District | Local Education Agency (LEA) | 57 Old Muggett Hill Rd, Charlton, MA 01507-1331 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932067 | Rosa E Degout | Counselor | 235 18th St Apt 204, Dracut, MA 01826-5110 | 2020-11-06 |
| 1891306908 | Julia Merritt Mcguire | Counselor | 8 Belmont St, Quincy, MA 02171-2625 | 2020-08-12 |
| 1538780010 | Jaclyn Elizabeth Germano | Counselor | 44 Edge Hill Rd, Milton, MA 02186-5309 | 2020-05-06 |
| 1710519756 | Joshua Michael Wren | Counselor | 43 Center St Ste 104, Northampton, MA 01060-3062 | 2020-02-07 |
| 1760037998 | Amy B Fitzgibbon | Counselor | 444 Hosmer St, Marlborough, MA 01752-1434 | 2019-08-05 |
| 1184184806 | Jessica Flora Grill | Counselor | 36 Middlesex Tpke, Bedford, MA 01730-1404 | 2019-03-20 |
| 1821562182 | Barbara J. Hamilton | Counselor | 251 Waltham St Rm 145, Lexington, MA 02421-4903 | 2019-01-18 |
| 1457820169 | Maryann Beaton | Counselor | 8 Bonair St, Somerville, MA 02145-3104 | 2018-11-26 |
| 1164991204 | Ellen Maura Sullivan | Counselor | 39 Stagecoach Rd, Hingham, MA 02043-4837 | 2018-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
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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.