Lisa Jennette Du Breuil in Boston - Clinical
Lisa Jennette Du Breuil - NPI 1205055605
Lisa Jennette Du Breuil is a Clinical in Boston, Massachusetts. Lisa Jennette Du Breuil practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Jennette Du Breuil is 1205055605. The last update date is 2007-07-08.
Lisa Jennette Du Breuil's current location address is 16 Blossom St, Boston, Massachusetts. You can contact this provider via phone number 6177244903 and fax number 6172480070. The mailing address for Lisa Jennette Du Breuil is 16 Blossom St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jennette Du Breuil |
|---|---|
| Address | 16 Blossom St, Boston, Massachusetts |
| Phone Number | 6177244903 |
| Fax Number | 6172480070 |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1205055605 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 16 Blossom St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21143104 |
| Phone Number | 6177244903 |
| Fax Number | 6172480070 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 113068 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Jennette Du Breuil?
The Lisa Jennette Du Breuil has been issued the NPI (National Provider Identifier) 1205055605 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Lisa Jennette Du Breuil is located?
The Lisa Jennette Du Breuil is situated at the following address: 16 Blossom St, Boston, MA, 21143104.
What is Lisa Jennette Du Breuil's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Jennette Du Breuil is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Lisa Jennette Du Breuil receive its 1205055605 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Jennette Du Breuil was assigned its 1205055605 by the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the information regarding Lisa Jennette Du Breuil, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Jennette Du Breuil, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA