Active NPIIndividual providerSole proprietor

Shelley Poulsen, LICSW

Social Worker, Clinical in Newton Centre, Massachusetts

NPI Number1659809887
Practice location
825 Beacon St Ste 7, Newton Centre, MA 02459-1834
Fax
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Last updated
June 16, 2018

Shelley Poulsen is a Social Worker, Clinical based in Newton Centre, MA. Shelley Poulsen practices in Newton Centre, MA and has the professional credentials of LICSW. The NPI Number for Shelley Poulsen is 1659809887 and holds a License No. 120463 (MA). The current practice location address for Shelley Poulsen is 825 Beacon St Ste 7, Newton Centre, MA 02459-1834 and can be reached out via phone at 617-519-3242.

Provider Profile Details

NPI Number
1659809887
Provider Name
Shelley Poulsen
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
825 Beacon St Ste 7, Newton Centre, MA 02459-1834
Phone Number
617-519-3242
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 1, 2017
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
825 Beacon St Ste 7
Newton Centre, MA 02459-1834
Zip
02459-1834
Phone Number
617-519-3242
Newton Centre, MA 02459Get directions →

Provider Business Mailing Address Details

Address
300 2ND Ave Unit 4104
Needham Heights, MA 02494-2961
City
Needham Heights
State
MA
Zip
02494-2961
Phone Number
508-423-5701

License Information

License Number
120463
License State
MA
Taxonomy
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 Shelley Poulsen, LICSW?

The NPI number of Shelley Poulsen, LICSW is 1659809887. It was assigned on June 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Shelley Poulsen, LICSW?

Shelley Poulsen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120463.

Where does Shelley Poulsen, LICSW practice?

The practice location is 825 Beacon St Ste 7, Newton Centre, MA 02459-1834. The office can be reached at 617-519-3242 (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 1659809887 directly on the NPPES registry website.

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