EILEEN CLOUGHERTY VLIEGER (NPI# 1780156786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780156786 |
| Entity Type | Individual |
| Full Name | EILEEN CLOUGHERTY VLIEGER |
| Practice Address |
70 Memorial Pkwy Randolph MA 02368-4506 |
| Mailing Address |
5 Donovan Ln Natick MA 01760-3616 |
| Practice Telephone | 7819616220 |
| Mailing Telephone | 8574926956 |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
113161 | MA | Behavioral Health & Social Service Providers |
| Street Address |
70 MEMORIAL PKWY |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598123853 | Matthew Degeorge | Specialist/Technologist | 70 Memorial Pkwy, Randolph, MA 02368-4506 | 2016-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463474 | Spencer L Anderson | Social Worker | 30 Lou Courtney Dr, Randolph, MA 02368-4802 | 2018-10-22 |
| 1942783006 | Amy Hardy | Social Worker | 225 High St, Randolph, MA 02368-1836 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578911 | Samantha Bridge | Social Worker | 26 Regina Rd, Lynn, MA 01904-1019 | 2020-11-03 |
| 1922623867 | Margaret Ann Mulcahy | Social Worker | 32 Hidden Cv, Plymouth, MA 02360-6629 | 2020-06-16 |
| 1558997023 | Elaine Garcia | Social Worker | 525 Essex St Apt 205, Lawrence, MA 01840-1241 | 2020-03-17 |
| 1821643743 | Linda Toussaint | Social Worker | 34 Nye St, Springfield, MA 01104-2312 | 2019-08-07 |
| 1922567031 | Valerie Patricia Moriceau | Social Worker | 111 Robbins Rd, Walpole, MA 02081-1940 | 2019-03-18 |
| 1538623103 | Sarah K Hiebert | Social Worker | 50 Beechcroft St, Brighton, MA 02135-2519 | 2019-01-28 |
| 1225502818 | Anna Greenberg | Social Worker | Framingham High School, 115 A St., Framingham, MA 01701 | 2019-01-16 |
| 1265905731 | Catherine Mary Horkan | Social Worker | 50 Lanark Rd, Malden, MA 02148-1609 | 2019-01-08 |
| 1689147480 | Carol Connery | Social Worker | 837 Longmeadow St, Longmeadow, MA 01106-2218 | 2019-01-04 |
| 1982176111 | Nicole Maire Shepardson | Social Worker | 50 Bushey Rd, Pittsfield, MA 01201-4405 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
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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.