MRS. LISA MARIE BLANCHARD (NPI# 1417096298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417096298 |
| Entity Type | Individual |
| Full Name | MRS. LISA MARIE BLANCHARD |
| Other Name | MISS LISA CUMMINGS |
| Credential | M.A. |
| Practice Address |
105 Merrick St Worcester MA 01609-1937 |
| Mailing Address |
585 Lincoln St Worcester MA 01605-1906 |
| Practice Telephone | 5088543320 |
| Practice Fax Number | 5087535051 |
| Mailing Telephone | 5088543320 |
| Mailing Fax Number | 5087535051 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1306421 | 05 | |
| MA | BCBS MENTAL HEALTH | M18684 | 01 |
| MA | 1308785 | 05 | |
| MA | BCBS SUBSTANCE ABUSE | 2220002001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003270554 | Lisa Blanchard | Behavioral Analyst | 23 West St, #3, Ashland, NH 03217-4219 | 2016-04-11 |
| 1871920041 | Lisa Michelle Blanchard | Pharmacist | 1606 Hwy 11-71, International Falls, MN 56649 | 2013-10-03 |
| 1134246739 | Lisa Blanchard | Psychologist | 21810 Normandie Ave, Torrance, CA 90502-2047 | 2007-03-26 |
| Street Address |
105 MERRICK ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01609-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215031802 | James P Bresnahan Jr. | Counselor | 105 Merrick St, Us, Worcester, MA 01609 | 2006-09-12 |
| 1063059442 | Matthew Collin | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2019-12-05 |
| 1225680929 | Nicole Marie Magni | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2019-07-12 |
| 1285286914 | Rita Peirce | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2019-07-12 |
| 1801452040 | George Clark | Social Worker | 105 Merrick St, Worcester, MA 01609-1937 | 2019-05-14 |
| 1164905774 | Elizabeth Clinkscales | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2018-09-10 |
| 1063994010 | Lisa Dagnello | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2018-09-05 |
| 1588053615 | Erin Sutherland | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2015-01-13 |
| 1972909950 | James Mcgrath | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2014-11-18 |
| 1306247226 | Eraldo Bango | Counselor | 105 Merrick St, Worcester, MA 01609-1937 | 2014-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1295200848 | Carmen P Rivera Martinez | Counselor | 20 Irving Street, Worcester, MA 01609 | 2018-10-10 |
| 1386126704 | Sarah J Macdonald | Psychologist | 27 Sever St, Worcester, MA 01609 | 2018-09-01 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1396190096 | Dasa Home Health Inc | Home Health | 255 Park Ave Ste 1101a, Worcester, MA 01609 | 2016-04-30 |
| 1912306135 | Neighborhood Dental Group, PC | Dentist | 111 Elm St Suite 203, Worcester, MA 01609 | 2014-08-14 |
| 1306254875 | Brenda Mccarthy-trayah | Counselor | 198 Russell St., Worcester, MA 01609 | 2014-07-29 |
| 1386052009 | Allene Rizzolo | Early Intervention Provider Agency | 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 | 2014-07-25 |
| 1477849032 | Diversified Staffing | Nursing Care | 39 Salisbury Street, Worcester, MA 01609 | 2011-06-22 |
| 1508195140 | 64 Highland Dental | Dentist | 64 Highland Street, Worcester, MA 01609 | 2009-12-10 |
| Find all providers in zip 01609 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184128522 | Noel Shawn Dennis | Counselor | 21 Catharine St, Worcester, MA 01605-2709 | 2018-03-21 |
| 1023512472 | Shane J Gadwah | Counselor | 15 Northampton St, Worcester, MA 01605-3415 | 2018-03-21 |
| 1760934095 | Amarsingh Integrative Counseling Services LLC | Counselor | 51 Union St Ste 314, Worcester, MA 01608-1134 | 2016-11-03 |
| 1598110306 | Tamara Cruz-vega | Counselor | 68 Perry Ave, Worcester, MA 01610-5108 | 2016-04-29 |
| 1316324379 | Pamela Daveau | Counselor | 107 Lincoln St., Adcare Hospital, Worcester, MA 01605 | 2015-04-29 |
| 1912245549 | Valerie Washington | Counselor | 75 Crescent St, Worcester, MA 01605-2406 | 2013-01-16 |
| 1417265588 | Miyan Y. Rodriguez | Counselor | 366 Wildwood Ave, Worcester, MA 01603-1656 | 2010-09-22 |
| 1447568274 | Jeanine L Paul | Counselor | 44 Front St Ste 490, Worcester, MA 01608-1742 | 2010-09-14 |
| 1265674931 | Debra Lynn Shilansky | Counselor | 411 Chandler St Ste 1, Worcester, MA 01602-3340 | 2009-03-27 |
| 1740431592 | Anne Marie Farmer | Counselor | 72 Jacques Ave, Worcester, MA 01610-2476 | 2008-10-09 |
| Find all providers in WORCESTER | ||||
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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.