JACQUELINE DE CORMIER BEAULIEU (NPI# 1568908002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568908002 |
| Entity Type | Individual |
| Full Name | JACQUELINE DE CORMIER BEAULIEU |
| Other Name | JACQUELINE NOELLE DE CORMIER |
| Practice Address |
1400 Vfw Pkwy Mail Stop A-122 West Roxbury MA 02132-4927 |
| Practice Telephone | 8572035176 |
| Mailing Telephone | 8572035176 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 122139 | MA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 222460 | MA | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 1165096 | MA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
122139 | MA | Behavioral Health & Social Service Providers |
| Street Address |
1400 VFW PKWY MAIL STOP A-122 |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903384 | Yesha Patel Barker | Emergency Medicine | 1400 Vfw Pkwy, Emergency Department, West Roxbury, MA 02132-4927 | 2005-09-22 |
| 1588279681 | Samantha Harfenist | Psychologist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-09-15 |
| 1114540341 | Elaine W Mandell | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-21 |
| 1154942696 | Crystal Ann Galvin | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-06 |
| 1972122943 | Lucia Fan Yang | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-10 |
| 1295364917 | Andrea Moseman | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-04 |
| 1801431010 | Jessica Fougere | Nurse Practitioner | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-11-12 |
| 1427608975 | Megan Nowak | Pharmacist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-09-17 |
| 1457906182 | Kristine Sears | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-08-08 |
| 1972156198 | William Vincent Rivelli | Respiratory Therapist, Registered | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068906 | Nina G Kagan | Social Worker | 81 Brook Farm Rd, West Roxbury, MA 02132-1607 | 2019-02-04 |
| 1750863684 | Jane T Scheibel | Social Worker | 176 Manthorne Rd Apt 1, West Roxbury, MA 02132-1329 | 2018-09-06 |
| 1467989160 | Barkari Tarik Brown | Social Worker | 72 Landseer St, Unit 1, West Roxbury, MA 02132-3437 | 2017-05-12 |
| 1972068724 | Sarah Elizabeth Svenson | Social Worker | 25 Willow St, West Roxbury, MA 02132-1537 | 2019-02-06 |
| 1366929747 | Shannon Kelly | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2018-07-27 |
| 1023456696 | Marea Ross | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2013-06-05 |
| 1285988824 | Sarah Ambler | Social Worker | 25 Willow St, West Roxbury, MA 02132-1537 | 2012-11-05 |
| 1932494317 | Noah M Whiddon | Social Worker | 1400 Vfw Parkway, West Roxbury, MA 02132 | 2011-06-14 |
| 1043525322 | Sarah Berkoff | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2010-08-11 |
| 1710074117 | Caitlin O Oliveira | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-10-06 |
| Find all providers in WEST ROXBURY | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
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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.