Active NPIIndividual provider

Theresa C Guillaume, LICSW

Social Worker, Clinical in Revere, Massachusetts

NPI Number1528309531
Practice location
11 Overlook Ridge Dr Apt 328, Revere, MA 02151-1159
Fax
—
Last updated
October 5, 2017

Theresa Cary Guillaume is a Social Worker, Clinical based in Revere, MA. Theresa Cary Guillaume practices in Revere, MA and has the professional credentials of LICSW. The NPI Number for Theresa Cary Guillaume is 1528309531. The current practice location address for Theresa Cary Guillaume is 11 Overlook Ridge Dr Apt 328, Revere, MA 02151-1159 and can be reached out via phone at 781-710-7454.

Provider Profile Details

NPI Number
1528309531
Provider Name
Theresa Cary Guillaume
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
11 Overlook Ridge Dr Apt 328, Revere, MA 02151-1159
Phone Number
781-710-7454
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 15, 2013
Last Update Date
October 5, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Overlook Ridge Dr Apt 328
Revere, MA 02151-1159
City
Revere
Zip
02151-1159
Phone Number
781-710-7454
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
20 School St
Lynn, MA 01902-2952
City
Lynn
State
MA
Zip
01902-2952

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Theresa C Guillaume, LICSW?

The NPI number of Theresa C Guillaume, LICSW is 1528309531. It was assigned on March 15, 2013 and is currently active in the NPPES registry.

What is the specialty of Theresa C Guillaume, LICSW?

Theresa C Guillaume, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Theresa C Guillaume, LICSW practice?

The practice location is 11 Overlook Ridge Dr Apt 328, Revere, MA 02151-1159. The office can be reached at 781-710-7454 (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 1528309531 directly on the NPPES registry website.

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