PRENTICE CROWELL (NPI# 1730644162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730644162 |
| Entity Type | Individual |
| Full Name | PRENTICE CROWELL |
| Practice Address |
157 Green St Jamaica Plain MA 02130-2667 |
| Practice Telephone | 8576152235 |
| Mailing Telephone | 8576152235 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
157 GREEN ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629097845 | Katherine Hillman | Social Worker | 157 Green St, Jamaica Plain, MA 02130-2667 | 2006-07-19 |
| 1073111639 | Shauna Mary Boothby | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-10-15 |
| 1255938189 | Arbour Inc. | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-10-05 |
| 1013523661 | Cassidy Bingham | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-09-18 |
| 1700491024 | Peter Mahlon Henderson | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-09-14 |
| 1477168128 | Rebeca Zichlin | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-09-10 |
| 1891335667 | Lucas Sidney Booth | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-01-09 |
| 1235771379 | Christine Lekas | Counselor | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-10-10 |
| 1720541840 | Faith Rose Sudbey | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-04-08 |
| 1477017143 | Cheryl A Molloy-emerson | Clinic/Center | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111639 | Shauna Mary Boothby | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-10-15 |
| 1255938189 | Arbour Inc. | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2020-10-05 |
| 1720541840 | Faith Rose Sudbey | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2019-04-08 |
| 1255800280 | Brittany Dries | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2018-11-20 |
| 1770067977 | David Covucci | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2018-09-24 |
| 1740763739 | Addis Woldeguiorguis | Peer Specialist | 157 Green St, Jamaica Plain, MA 02130-2667 | 2018-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
| 1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
| 1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
| 1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
| 1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
| 1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
| 1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
| 1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
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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.