Theresa A Beaudreau in Cranston - Clinical

Theresa A Beaudreau - NPI 1427180397

Theresa A Beaudreau is a Clinical in Cranston, Rhode Island. Theresa A Beaudreau practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa A Beaudreau is 1427180397. The last update date is 2011-05-16.

Theresa A Beaudreau's current location address is Po Box 8879, Cranston, Rhode Island. You can contact this provider via phone number 4015723120 and fax number 4015723351. The mailing address for Theresa A Beaudreau is Po Box 8879, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Theresa A Beaudreau
Address Po Box 8879, Cranston, Rhode Island
Phone Number 4015723120
Fax Number 4015723351
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1427180397
Provider Enumeration Date 2007-03-09
Last Updated Date 2011-05-16

Provider Mailing Address Detail

Address Po Box 8879
City Cranston
State Rhode Island (RI)
Post Code 29200879
Phone Number 4015723120
Fax Number 4015723351

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 502
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2785 RI BLUECROSS BLUESHIELD
6254399 UNITED HEALTH
298567000 MAGELLAN
TB63105 RI --
1036990 NEIGHBORHOOD HEALTH
408805 RI BLUECHIP

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FAQs about Theresa A Beaudreau

What is the unique identifier code issued to Theresa A Beaudreau by the Centers for Medicare & Medicaid Services (CMS)?

The Theresa A Beaudreau has been assigned the NPI (National Provider Identifier) 1427180397. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Theresa A Beaudreau is located?

The Theresa A Beaudreau is situated at the following address: Po Box 8879, Cranston, RI, 29200879.

What is Theresa A Beaudreau's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Theresa A Beaudreau is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Theresa A Beaudreau receive its 1427180397 assignment?

The Theresa A Beaudreau was assigned its 1427180397 on 2007-03-09, which is the date when this unique identifier was issued to the organization.

When was the Theresa A Beaudreau's information last updated?

The Theresa A Beaudreau's information was last updated on 2011-05-16.

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