NICOLINE TABUNG (NPI# 1790291045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790291045 |
| Entity Type | Individual |
| Full Name | NICOLINE TABUNG |
| Credential | MA |
| Practice Address |
70 James St Worcester MA 01603-1038 |
| Practice Telephone | 5085527407 |
| Mailing Telephone | 5085527407 |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
70 JAMES ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01603-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477887099 | Erik Duane Lerdal | Behavioral Analyst | 70 James St, Suite 203a, Worcester, MA 01603-1038 | 2009-09-29 |
| 1932715109 | Alexandra Buchwald | Counselor | 70 James St, Worcester, MA 01603-1038 | 2020-09-22 |
| 1063026797 | Taylor Glickman | Social Worker | 70 James St, Worcester, MA 01603-1038 | 2020-09-01 |
| 1609490390 | Rose Sherblom | Counselor | 70 James St, Worcester, MA 01603-1038 | 2020-05-29 |
| 1053942847 | Randee Siegel | Social Worker | 70 James St, Worcester, MA 01603-1038 | 2020-01-30 |
| 1669014734 | Destinee Ann Lucier | Counselor | 70 James St, Worcester, MA 01603-1038 | 2019-10-10 |
| 1699323808 | Brielle Marie Stovall | Counselor | 70 James St, Worcester, MA 01603-1038 | 2019-08-30 |
| 1619438066 | John R Pickett | Counselor | 70 James St, Worcester, MA 01603-1038 | 2019-03-28 |
| 1922584630 | Jesed Ester Burgos | Counselor | 70 James St, Worcester, MA 01603-1038 | 2018-07-16 |
| 1487143087 | Courtney Lowe | Social Worker | 70 James St, Worcester, MA 01603-1038 | 2018-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134783228 | Drx Uc Worcester PC | Family Medicine | 117 A Stafford St, Worcester, MA 01603 | 2019-04-24 |
| 1487165072 | Heather B Mandeville | Counselor | 70 James St., Suite #270, Worcester, MA 01603 | 2017-10-23 |
| 1952812059 | Jeffrey S Jones II | Social Worker | 70 James St Ste 270, Worcester, MA 01603 | 2017-10-16 |
| 1497275796 | Ardent Companion Homecare LLC | Home Health | 93 Stafford Street, Suite 202, Worcester, MA 01603 | 2017-06-27 |
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1023562048 | Isha Sood | Dentist | Dental Dreams, 68 Stafford Street, Worcester, MA 01603 | 2016-08-08 |
| 1316395742 | Brandie Casassa | Counselor | 55 Seminole Drive, Worcester, MA 01603 | 2016-05-26 |
| 1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
| 1093124182 | Taylor Pearson | Counselor | 24 Alsada Drive, Worcester, MA 01603 | 2014-08-04 |
| 1861732158 | Christiana Acheampong | Student in an Organized Health Care Education/Training Program | 540 Park Avenue, Worcester, MA 01603 | 2013-02-22 |
| Find all providers in zip 01603 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271274 | Simon Hayward Waters | Counselor | 67 Rockrimmon Rd, Worcester, MA 01602-2231 | 2020-09-26 |
| 1962015735 | Oumie Hawa Nyassi | Counselor | 78 Upsala St Unit 1, Worcester, MA 01610-2060 | 2020-08-31 |
| 1407470883 | Eliana Catalina Agudelo | Counselor | 259 May St, Worcester, MA 01602-3286 | 2020-06-02 |
| 1720625932 | Richard Jose Figueroa | Counselor | 31 Drexel St, Worcester, MA 01602-1238 | 2019-12-06 |
| 1336794577 | Bailiner Cruz | Counselor | 31 Queen St, Worcester, MA 01610-2456 | 2019-08-05 |
| 1437617552 | Wellbe To Go, Inc. | Counselor | 40 Yukon Ave, Worcester, MA 01605-1630 | 2019-03-07 |
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1962914614 | Michelle Montanez | Counselor | 21 Dewey St, Worcester, MA 01609-2909 | 2017-11-02 |
| 1528579125 | Rochelle M Santiago | Counselor | 9 Cottage St, Worcester, MA 01609-2301 | 2017-10-23 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| Find all providers in WORCESTER | ||||
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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.