MRS. LAURA ANN BEAUDRY (NPI# 1235563842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235563842 |
| Entity Type | Individual |
| Full Name | MRS. LAURA ANN BEAUDRY |
| Credential | LICSW |
| Practice Address |
610 Manton Ave Providence RI 02909-5633 |
| Mailing Address |
55 Mashie Cir Coventry RI 02816-5789 |
| Practice Telephone | 4012746310 |
| Mailing Telephone | 4018291031 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
ISW01596 | RI | Behavioral Health & Social Service Providers |
| Street Address |
610 MANTON AVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02909-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396751830 | Groden Center,inc | Day Training, Developmentally Disabled Services | 610 Manton Ave, Providence, RI 02909-5633 | 2006-08-01 |
| 1336746155 | Jadine Sandra Wilson | Behavioral Analyst | 610 Manton Ave, Providence, RI 02909-5633 | 2020-10-05 |
| 1588129084 | Keri-ann Cooney | Behavioral Analyst | 610 Manton Ave, Providence, RI 02909-5633 | 2019-02-08 |
| 1124532437 | Brittany Victoria Dalpe | Social Worker | 610 Manton Ave, Providence, RI 02909-5633 | 2017-11-22 |
| 1669928503 | Steffanie Lynn Hozempa | Social Worker | 610 Manton Ave, Providence, RI 02909-5633 | 2016-08-31 |
| 1316308356 | The Groden Center | In Home Supportive Care | 610 Manton Ave, 3rd Floor, Providence, RI 02909-5633 | 2016-03-18 |
| 1649636291 | Kathryn Mottau | Community/Behavioral Health | 610 Manton Ave, Providence, RI 02909-5633 | 2016-01-12 |
| 1487010112 | Renee Teresa Hanley | Behavioral Analyst | 610 Manton Ave, Providence, RI 02909-5633 | 2016-01-11 |
| 1295118834 | Ivy Kolb | Social Worker | 610 Manton Ave, Providence, RI 02909-5633 | 2015-07-01 |
| 1184046245 | Julie Gilbert | Behavioral Analyst | 610 Manton Ave, Providence, RI 02909-5633 | 2014-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578021754 | Roberta Bellas Portugal | Registered Nurse | Behave Care, 188 Valley St, Providence, RI 02909 | 2019-03-07 |
| 1912137324 | Catherine Elaine Tuttle | Social Worker | 623 Atwells Avenue, Suite 201, Providence, RI 02909 | 2009-07-20 |
| 1477736452 | City Dental, LLC | Dentist | 314f Pocasset Avenue, Providence, RI 02909 | 2007-12-12 |
| 1245449651 | Walter R. Vandyck | Occupational Therapist | Springfield Middle School, Providene School Department, 152 Springfield St, Providence, RI 02909 | 2007-05-22 |
| 1780805283 | Marcel A Trisvan | Counselor | Codac Providence, 349 Huntington Ave, Providence, RI 02909 | 2007-05-01 |
| 1215153945 | Codac Inc | Peer Specialist | 349 Huntington Ave, Codac Providence, Providence, RI 02909 | 2007-04-18 |
| 1316076342 | Mulak Chiropractic Center Inc | Chiropractor | 411 Broadway, Providence, RI 02909 | 2007-03-05 |
| 1710042742 | Michael Antonio Pensa | Chiropractor | 45 Eagle St Bld J Unit 100, Providence, RI 02909 | 2006-12-27 |
| 1780768234 | Providence Community Action | Case Management | 662 Hartford Avenue, Providence, RI 02909 | 2006-10-24 |
| 1881629608 | Cora Brigid Mayer | Counselor | 623 Atwells Ave., Communities for People, Inc., Providence, RI 02909 | 2006-07-11 |
| Find all providers in zip 02909 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351714 | Live You Well LLC | Social Worker | 1 Richmond Sq Ste 132c, Providence, RI 02906-5140 | 2020-09-21 |
| 1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
| 1295362671 | Elliot Ruggles | Social Worker | 101 Tobey St, Providence, RI 02909-1830 | 2020-03-25 |
| 1497380190 | Rebecca Anne King | Social Worker | 225 Stonehenge Cir, Providence, UT 84332-9200 | 2020-03-03 |
| 1740820919 | Georgina Dauda | Social Worker | 42 Rutherglen Ave, Providence, RI 02907-3523 | 2020-01-15 |
| 1982255972 | Nicole A Faison | Social Worker | 1 Richmond Sq Ste 305w, Providence, RI 02906-5141 | 2019-09-22 |
| 1336795053 | Caitlin Beatrice Frumerie | Social Worker | 130 Vinton St Fl 2, Providence, RI 02909-1134 | 2019-08-19 |
| 1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
| 1760940449 | Julie Anna-marie Panton | Social Worker | 205 Waterman St Ste 205, Providence, RI 02906-4313 | 2019-03-12 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02909 |
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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.