Kevin M Beaudry, LICSW
Social Worker, Clinical in Bedford, Massachusetts
1306396494- Practice location
- 200 Springs RD, Bedford, MA 01730-1114
- Phone
- 781-654-1386
- Fax
- —
- Last updated
- February 20, 2025
Kevin Mark Beaudry is a Social Worker, Clinical based in Bedford, MA. Kevin Mark Beaudry practices in Bedford, MA and has the professional credentials of LICSW. The NPI Number for Kevin Mark Beaudry is 1306396494 and holds a License No. 122199 (MA). The current practice location address for Kevin Mark Beaudry is 200 Springs RD, Bedford, MA 01730-1114 and can be reached out via phone at 781-654-1386.
Provider Profile Details
- NPI Number
- 1306396494
- Provider Name
- Kevin Mark Beaudry
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 200 Springs RD, Bedford, MA 01730-1114
- Phone Number
- 781-654-1386
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 12, 2016
- Last Update Date
- February 20, 2025
- Certification Date
- February 20, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 200 Springs RD
Bedford, MA 01730-1114 - City
- Bedford
- State
- Massachusetts
- Zip
- 01730-1114
- Phone Number
- 781-654-1386
Provider Business Mailing Address Details
- Address
- 403 Belmont St
Worcester, MA 01604-1019 - City
- Worcester
- State
- MA
- Zip
- 01604-1019
- Phone Number
- 134-342-2634
License Information
- License Number
- 122199
- License State
- MA
- Taxonomy
- 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 Bedford, MA
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- Erin Brassil, LICSWSocial Worker, Clinical · NPI 1043900897
- Miss Rachael Mcgovern, LICSWSocial Worker, Clinical · NPI 1346692829
- Mr. Andrew E Leonard, LICSWSocial Worker, Clinical · NPI 1457370843
- Mrs. Laura B Blake, LICSWSocial Worker, Clinical · NPI 1689804197
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Frequently Asked Questions
What is the NPI number of Kevin M Beaudry, LICSW?
The NPI number of Kevin M Beaudry, LICSW is 1306396494. It was assigned on October 12, 2016 and is currently active in the NPPES registry.
What is the specialty of Kevin M Beaudry, LICSW?
Kevin M Beaudry, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 122199.
Where does Kevin M Beaudry, LICSW practice?
The practice location is 200 Springs RD, Bedford, MA 01730-1114. The office can be reached at 781-654-1386 (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 1306396494 directly on the NPPES registry website.