Kathleen Harrison-Beauregard, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

210601 Issued in MA

Practice address

92 Faunce Corner Rd
Unit 110
North Dartmouth, MA 02747-1262

Phone

(508) 994-1109

Fax

(508) 994-1129

NPI assigned

May 22, 2006

Last updated

Dec 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child & Family Services, Inc.

  • Mental Health Counselor
  • New Bedford, MA
  • NPI 1205813540
  NPD (past)
• Velcea M.D. P.C.

  • Child & Adolescent Psychiatry Physician
  • Dartmouth, MA
  • NPI 1992958821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1043264914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 FAUNCE CORNER RD",
            "address_2": "UNIT 110",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471262",
            "telephone_number": "508-994-1109",
            "fax_number": "508-994-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FAUNCE CORNER RD",
            "address_2": "UNIT 110",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471262",
            "telephone_number": "508-994-1109",
            "fax_number": "508-994-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON-BEAUREGARD",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "210601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater New Bedford Surgicenter
• Michael Joseph Griffin, PA-C
• NA Eun Chung Grimes, DMD
• Andrew Joseph Hachey, ACNP-BC
• Karen Harb, R.PH
• Amy J Hartnett
• Hawthorn Endoscopy Service, LLC (Hawthorn Ambulatory Services)
• Hawthorn Medical Associates, LLC
• Katherine Marie Hayden, RN,CNS
• James Matthew Hayes III, NP

• Clinical Social Worker in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.