Kristen Beaudouin, LICSW
Social Worker, Clinical in Jamaica Plain, Massachusetts
1073923918- Practice location
- 157 Green St, Jamaica Plain, MA 02130-2667
- Phone
- 617-390-1259
- Fax
- —
- Last updated
- October 2, 2018
Kristen Beaudouin is a Social Worker, Clinical based in Jamaica Plain, MA. Kristen Beaudouin practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Kristen Beaudouin is 1073923918 and holds a License No. 085024 (NY). The current practice location address for Kristen Beaudouin is 157 Green St, Jamaica Plain, MA 02130-2667 and can be reached out via phone at 617-390-1259.
Provider Profile Details
- NPI Number
- 1073923918
- Provider Name
- Kristen Beaudouin
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 157 Green St, Jamaica Plain, MA 02130-2667
- Phone Number
- 617-390-1259
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 30, 2014
- Last Update Date
- October 2, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 157 Green St
Jamaica Plain, MA 02130-2667 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-2667
- Phone Number
- 617-390-1259
Provider Business Mailing Address Details
- Address
- 157 Green St
Jamaica Plain, MA 02130-2667 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-2667
- Phone Number
- 617-390-1259
License Information
- License Number (1)
- 085024
- License State (1)
- NY
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- 121226
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Jamaica Plain, MA
View all Social Worker, Clinical providers in Jamaica Plain →- 635 Community Health CollectiveSocial Worker, Clinical · NPI 1558074088
- Allison ColeSocial Worker, Clinical · NPI 1124844543
- Amanda Welty, LICSWSocial Worker, Clinical · NPI 1790390771
- Amy Vogt Counseling, LLCSocial Worker, Clinical · NPI 1528918083
- Ana Klett, LICSWSocial Worker, Clinical · NPI 1114331998
- Angela DepaolisSocial Worker, Clinical · NPI 1427405398
Frequently Asked Questions
What is the NPI number of Kristen Beaudouin, LICSW?
The NPI number of Kristen Beaudouin, LICSW is 1073923918. It was assigned on April 30, 2014 and is currently active in the NPPES registry.
What is the specialty of Kristen Beaudouin, LICSW?
Kristen Beaudouin, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NY under license number 085024.
Where does Kristen Beaudouin, LICSW practice?
The practice location is 157 Green St, Jamaica Plain, MA 02130-2667. The office can be reached at 617-390-1259 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073923918 directly on the NPPES registry website.