ELIZABETH BLAIRE CONNOLLY


Address: 66 Canal St, Boston, MA 02114-2002
Phone: 6173713000

ELIZABETH BLAIRE CONNOLLY (NPI# 1811403520) 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) 1811403520
Entity Type Individual
Full Name ELIZABETH BLAIRE CONNOLLY
Credential M.A.
Practice Address 66 Canal St
Boston
MA 02114-2002
Practice Telephone 6173713000
Practice Fax Number 6173713000
Mailing Telephone 6173713000
Mailing Fax Number 6173713000
Enumeration Date 2017-12-18
Last Update Date 2017-12-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

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Office Location

Street Address 66 CANAL ST
City BOSTON
State MA
Zip Code 02114-2002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306993928 Mark S Abelman Social Worker 66 Canal St, Boston, MA 02114-2002 2007-01-04
1659919488 Genevieve Marie Minori Case Manager/Care Coordinator 66 Canal St, Boston, MA 02114-2002 2019-12-11
1215589775 Barbara Ellen Burns Case Manager/Care Coordinator 66 Canal St, Boston, MA 02114-2002 2019-07-15
1437719200 Bridget Hager Counselor 66 Canal St, Boston, MA 02114-2002 2019-06-14
1538628342 Henrietta Imade Idumwonyi Registered Nurse 66 Canal St, Boston, MA 02114-2002 2019-03-19
1215404322 Christina Haggerty Social Worker 66 Canal St, Boston, MA 02114-2002 2018-10-26
1770067050 Ruth Harel Garvey Social Worker 66 Canal St, Boston, MA 02114-2002 2018-09-21
1457839276 Matthew Steven Bronheim Counselor 66 Canal St, Boston, MA 02114-2002 2018-08-02
1619469855 Jessica Visconti Counselor 66 Canal St, Boston, MA 02114-2002 2018-06-04
1154822856 Ashlee Steed Case Manager/Care Coordinator 66 Canal St, Boston, MA 02114-2002 2018-02-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588276281 Guoliang Qiao Student in an Organized Health Care Education/Training Program Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 2020-08-24
1881223741 Alexander Wesley Zirulnik Student in an Organized Health Care Education/Training Program 55 Fruit St. Boston, Boston, MA 02114 2020-04-03
1376170548 Mia Yu Bothwell Student in an Organized Health Care Education/Training Program Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 2020-03-26
1225661036 David Dongkyung Kim Student in an Organized Health Care Education/Training Program 6 Whittier Place, Apartment 15b, Boston, MA 02114 2020-02-20
1124651658 Madeleine Sertic Student in an Organized Health Care Education/Training Program Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 2020-02-12
1285274498 Jiuk James Jung Student in an Organized Health Care Education/Training Program 15 Parkman Ave, Wang 4-460, Boston, MA 02114 2020-01-15
1831740448 Jennifer Hughes Physician Assistant 55 Fruit Street, Founders 110, Boston, MA 02114 2019-09-25
1558827220 Aluma Chovel Sella Student in an Organized Health Care Education/Training Program Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 2019-02-18
1083187140 Henry Oliveras Massage Therapist 102 Charles Street, Boston, MA 02114 2019-01-10
1720550031 Nicole M Price Social Worker 29 Staniford St, Boston, MA 02114 2018-12-27
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1356953673 Colleen Murray Counselor 45 Montcalm Ave, Boston, MA 02135-2839 2020-08-18
1326657487 Laqueen Arleen Battle Counselor 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 2020-07-24
1134737240 Jeandrilie Font-llorens Counselor 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 2020-07-15
1255959524 Discover Healing Therapy LLC Counselor 185 Devonshire St Ste 501, Boston, MA 02110-1415 2020-07-13
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1013537992 James Jeffrey Yelinek Jr. Counselor 80 Fenwood Rd Unit 614, Boston, MA 02115-6148 2020-04-21
1952944290 Chabreah Alston Counselor 23 Cameron St Apt 3, Boston, MA 02125-4463 2019-10-18
1720620271 Cheryl Pamela Lewis Counselor 155 Northampton St Apt 408, Boston, MA 02118-1845 2019-10-16
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Competitor

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City BOSTON
Zip Code 02114

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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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