Active NPIIndividual providerSole proprietor

Jacqueline D Beaulieu

Social Worker in West Roxbury, Massachusetts

NPI Number1568908002
Practice location
1400 Vfw Pkwy, Mail Stop A-122, West Roxbury, MA 02132-4927
Fax
—
Last updated
March 5, 2020

Jacqueline De Cormier Beaulieu is a Social Worker based in West Roxbury, MA. Jacqueline De Cormier Beaulieu practices in West Roxbury, MA. The NPI Number for Jacqueline De Cormier Beaulieu is 1568908002 and holds a License No. 222460 (MA). The current practice location address for Jacqueline De Cormier Beaulieu is 1400 Vfw Pkwy, Mail Stop A-122, West Roxbury, MA 02132-4927 and can be reached out via phone at 857-203-5176.

Provider Profile Details

NPI Number
1568908002
Provider Name
Jacqueline De Cormier Beaulieu
Provider Entity Type
Individual
Gender
Female
Address
1400 Vfw Pkwy, Mail Stop A-122, West Roxbury, MA 02132-4927
Phone Number
857-203-5176
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
Yes
Other Names
Jacqueline Noelle De Cormier (Former Name)
Provider Enumeration Date
January 9, 2017
Last Update Date
March 5, 2020
Certification Date
March 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1400 Vfw Pkwy
Mail Stop A-122
West Roxbury, MA 02132-4927
Zip
02132-4927
Phone Number
857-203-5176
West Roxbury, MA 02132Get directions →

Provider Business Mailing Address Details

Address
1400 Vfw Pkwy
Mail Stop A-122
West Roxbury, MA 02132-4927
City
West Roxbury
State
MA
Zip
02132-4927
Phone Number
857-203-5176

License Information

License Number (1)
222460
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
License Number (2)
1165096
License State (2)
MA
Taxonomy (2)
Social Worker · 104100000X
License Number (3)
122139
License State (3)
MA
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
Taxonomy (4)
Social Worker, Clinical · 1041C0700X
License Number (5)
122139
License State (5)
MA
Taxonomy (5)
Social Worker · 104100000X · 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 Jacqueline D Beaulieu?

The NPI number of Jacqueline D Beaulieu is 1568908002. It was assigned on January 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Jacqueline D Beaulieu?

Jacqueline D Beaulieu is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 222460.

Where does Jacqueline D Beaulieu practice?

The practice location is 1400 Vfw Pkwy, Mail Stop A-122, West Roxbury, MA 02132-4927. The office can be reached at 857-203-5176 (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 1568908002 directly on the NPPES registry website.

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