CATHERINE SUSAN MARCELLE (NPI# 1912412040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912412040 |
| Entity Type | Individual |
| Full Name | CATHERINE SUSAN MARCELLE |
| Practice Address |
391 Varnum Ave Lowell MA 01854-2119 |
| Practice Telephone | 9784553397 |
| Practice Fax Number | 9784599096 |
| Mailing Telephone | 9784553397 |
| Mailing Fax Number | 9784599096 |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 293 Wilson St, Manchester, NH 031035008 | 6036684111 |
| Street Address |
391 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005836 | Timaree Catherine Brown | Psychologist | 391 Varnum Ave, Lowell, MA 01854-2119 | 2006-04-27 |
| 1235785601 | Claudia Smith | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-08-12 |
| 1043874753 | Shantel Sinclair | Behavior Technician | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-04-28 |
| 1689147316 | Chheub Bun Heng | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2019-01-04 |
| 1720555410 | Iniobong Francis Udounwa | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-10-31 |
| 1780166355 | Luciana Echavarria | Social Worker | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-08-30 |
| 1437636974 | Brent T Rourke | Student in an Organized Health Care Education/Training Program | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-07-27 |
| 1104315969 | Paula Alexandra Pereira Reis | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-05-08 |
| 1992201776 | Krystal Peirce | Registered Nurse | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-04-02 |
| 1154820637 | Nolisha Trinices Greer | Counselor | 391 Varnum Ave, Lowell, MA 01854-2119 | 2018-02-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203233 | Vicheavy Victoria Chantrea | Case Manager/Care Coordinator | 250 Suffolk St, Lowell, MA 01854-4228 | 2013-06-04 |
| 1871107920 | Ariel Simaz | Case Manager/Care Coordinator | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2020-09-06 |
| 1952913535 | Jacquelynn Rodriguez | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-08-17 |
| 1871155895 | Paul Stephen Kandarian | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-06-29 |
| 1184102055 | Byanca Anadely Padron | Case Manager/Care Coordinator | 148 Warren St, Lowell, MA 01852-2208 | 2018-08-02 |
| 1558850867 | Emily May Keabe | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2018-05-02 |
| 1396267472 | Rita Nakabiri Musaazi | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851 | 2017-07-11 |
| 1972970697 | Marissa Pellegrino | Case Manager/Care Coordinator | 148 Warren St, Lowell, MA 01852-2208 | 2015-08-28 |
| 1750621991 | Kaleigh Kent | Case Manager/Care Coordinator | 148 Warren St, Lowell, MA 01852-2208 | 2013-02-26 |
| 1003151143 | Dan Wallin | Case Manager/Care Coordinator | 77 E Merrimack St, Lowell, MA 01852-1251 | 2012-11-30 |
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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.