Amy Beaulieu, LICSW
Individual provider Active NPI Clinical Social Worker · Andover, MA
NPI 1114223443 · NPPES record last updated Feb 3, 2011
Key facts
- NPI
- 1114223443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 113788 (MA)
- Practice address
- 2 Dundee Park Drive
Suite 202B
Andover, MA 01810 - Phone
- (603) 886-9788
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113788 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113788 | MA | Yes |
Addresses
Primary practice location
2 Dundee Park Drive
Suite 202B
Andover, MA 01810
Mailing address
123 Fox Hollow Dr
Hudson, NH 03051-4856
Phone (603) 886-9788
Other providers in Andover, MA
- Kristen Bardol
- Richard Harris Baron
- Lauren Margaret Barry
- Lara Bastajian
- Bear Mt Andover LLC
- Mary T Behl
- Marcy Beinert
- Lauren Belanger
- Heather Benedetto
- Melissa Bergeron
All providers in Andover, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.