MRS. MARIBETH COUGHLIN (NPI# 1619057874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619057874 |
| Entity Type | Individual |
| Full Name | MRS. MARIBETH COUGHLIN |
| Credential | LICSW |
| Practice Address |
169 Libbey Industrial Pkwy 2nd Floor Weymouth MA 02189-3101 |
| Practice Telephone | 7816821060 |
| Practice Fax Number | 7816821061 |
| Mailing Telephone | 7816821060 |
| Mailing Fax Number | 7816821061 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1024551 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS PROVIDER NUMBER | P07016 | 01 |
| MA | VALUE OPTIONS PROVIDER NU | 081218 | 01 |
| MD | EVERCARE PROVIDER NUMBER | 6200034 | 01 |
| Street Address |
169 LIBBEY INDUSTRIAL PKWY 2ND FLOOR |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366452153 | Maria M Vazquez | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2006-08-08 |
| 1053925883 | Cyrielle Andrew | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2020-08-31 |
| 1124672522 | Yangmu Xu | Clinical Neuropsychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3189 | 2019-07-25 |
| 1154845329 | Caroline Byron | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2017-07-31 |
| 1598114308 | Meredith Tumilty | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2016-06-13 |
| 1972972065 | Melissa Stone | Psychologist | 169 Libbey Industrial Pkwy, Weymouth, MA 02189-3101 | 2015-09-18 |
| 1841612660 | Dorothie Ferdinand | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2014-01-14 |
| 1710326962 | Alexandra Nelson | Psychologist | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1932548120 | Hart K Maccardell-fossel | Psychologist | 169 Libbey Industrial Pkwy, Second Floor, Weymouth, MA 02189-3101 | 2013-06-20 |
| 1396066874 | Roger Pottanat | Psychiatry & Neurology | 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189-3101 | 2010-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| 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 |
|---|---|---|---|---|
| 1356969505 | Bridgeway Wellness Center LLC | Social Worker | 10 Richards Rd, Weymouth, MA 02189-1025 | 2020-07-13 |
| 1093299240 | Maria D Rizzo Depaoli | Social Worker | 40 Randall Ave, Weymouth, MA 02189-2021 | 2018-09-23 |
| 1558844811 | Mary Elizabeth Kelly | Social Worker | 97 Libbey Industrial Pkwy Ste 301, Weymouth, MA 02189-3110 | 2018-09-12 |
| 1205317674 | Bridget R Boursiquot | Social Worker | 50 Bates Ave, Weymouth, MA 02190-2706 | 2018-08-23 |
| 1720572696 | Teresa Hayes | Social Worker | 17 Russell Rd, Weymouth, MA 02190-2725 | 2018-06-14 |
| 1891222501 | Mataiah Crossley | Social Worker | 148 Summer St, Weymouth, MA 02188-1429 | 2017-05-12 |
| 1972906717 | Margaret Lakin Licsw | Social Worker | 11 Woodland Dr, Weymouth, MA 02190-1125 | 2014-10-08 |
| 1962744995 | Andrea Lundquist | Social Worker | 384 Front St, #3, Weymouth, MA 02188-2802 | 2013-03-16 |
| 1215213434 | Maureen E Rosenplanter | Social Worker | 78 Wingate Rd, Weymouth, MA 02189-1728 | 2011-11-02 |
| 1114165404 | William Joseph Deveney | Social Worker | 237 Middle St, Weymouth, MA 02189-1330 | 2009-01-26 |
| Find all providers in WEYMOUTH | ||||
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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.