KELLY FOURNIER


Address: 732 Harrison Ave, Preston Family Building 2nd Floor, Boston, MA 02118-2309
Phone: 6176386843

KELLY FOURNIER (NPI# 1750379780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750379780
Entity Type Individual
Full Name KELLY FOURNIER
Credential LICSW
Practice Address 732 Harrison Ave
Preston Family Building 2nd Floor
Boston
MA 02118-2309
Mailing Address 720 Harrison Ave
Dob 503
Boston
MA 02118
Practice Telephone 6176386843
Practice Fax Number 6176387449
Enumeration Date 2005-10-13
Last Update Date 2015-01-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
116940 MA Behavioral Health & Social Service Providers

Other Providers KELLY FOURNIER

NPI Name Taxonomy Address Enumeration
1003436411 Kelly L. Fournier Midwife 105 S Smalley St, Nixa, MO 65714-7829 2020-04-26

Office Location

Street Address 732 HARRISON AVE
PRESTON FAMILY BUILDING 2ND FLOOR
City BOSTON
State MA
Zip Code 02118-2309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336146810 Hans K Meier-ewert Internal Medicine 732 Harrison Ave, Preston Building - 3rd Floor, Boston, MA 02118-2309 2005-06-30
1972144236 Christina Ann Guerriero Physician Assistant 732 Harrison Ave, Preston 2nd Fl, Boston, MA 02118 2019-10-07
1861045478 Kristen Fein Nurse Practitioner 732 Harrison Ave, 3rd Floor, Boston, MA 02118 2019-07-23
1730732314 Oluwakemi Olotu Family Medicine 732 Harrison Ave, Fl 3, Boston, MA 02118 2019-07-22
1174082143 Ashley Dinah Daniel Student in an Organized Health Care Education/Training Program 732 Harrison Ave, Boston, MA 02118-2309 2019-03-18
1023522497 Tram T Tran Nurse Practitioner 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 2017-11-21
1083127658 Lorely Torres Nurse Practitioner 732 Harrison Ave, Preston, 2nd Floor, Boston, MA 02118 2017-11-06
1093246951 Heidi Michelle Fuller Student in an Organized Health Care Education/Training Program 732 Harrison Ave, Podiatry Clinic 5th Floor, Boston, MA 02118-2309 2017-03-22
1407306731 Colin Flynn Physician Assistant 732 Harrison Ave, Preston, 3rd Floor, Boston, MA 02118-2309 2016-10-11
1639627649 Jessica Nicole Fernandes Physician Assistant 732 Harrison Ave, Preston, 3rd Floor, Boston, MA 02118-2309 2016-09-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346854635 Linda Arian Social Worker 38 Fairfield St Apt 6, Boston, MA 02116-2537 2020-09-03
1376152306 Sasha Brown Social Worker 21 Tileston St Apt 1, Boston, MA 02113-1965 2020-07-27
1639787898 Catherine Delano Social Worker 20 Cumberland St, Boston, MA 02115-5306 2020-07-14
1093332462 Lauren Bachman-streitfield Social Worker 32 Fruit St Ste 4b, Boston, MA 02114-2620 2020-07-01
1992322606 Melissa Ann Stadler Social Worker 9247 S Hill Rd, Boston, NY 14025-9788 2020-06-29
1942827662 Kaitlin Silkowitz Social Worker 271 Dartmouth St Apt 4i, Boston, MA 02116-2828 2020-06-29
1154942233 Raiza Alyssa Felicitas Social Worker 250 Rutherford Ave, Boston, MA 02129-2925 2020-04-30
1396372561 Sarah Coburn Social Worker 185 Pilgrim Rd # Baker217, Boston, MA 02215-5324 2020-03-26
1235764887 Stephen Santos Social Worker 12 Chesterton St, Boston, MA 02119-2906 2020-03-04
1285265025 Hui Wang Social Worker 185 Pilgrim Rd # Baker218, Boston, MA 02215-5324 2020-01-30
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Competitor

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City BOSTON
Zip Code 02118

Improve Information

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Dataset Information

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.

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