Tania Beaudoin Licensed Clinical Social Worker Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TANIA BEAUDOIN LICENSED CLINICAL SOCIAL WORKER INC

Practice address

2580 Catamaran Way
Chula Vista, CA 91914-4533

Phone

(619) 500-6120

NPI assigned

Dec 22, 2021

Organization subpart

No

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

Authorized official

Name

Tania Marie Beaudoin, LCSWNPI 1447785811

Title

President/Owner

Phone

(619) 500-6120

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tania Marie Beaudoin, LCSW

  • Clinical Social Worker
  • Chula Vista, CA
  • NPI 1447785811
  NPD Authorized official

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1215697990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 MOUNT LANGLEY ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131613",
            "telephone_number": "619-500-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CATAMARAN WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144533",
            "telephone_number": "619-500-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANIA BEAUDOIN LICENSED CLINICAL SOCIAL WORKER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "BEAUDOIN",
        "authorized_official_first_name": "TANIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-500-6120",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian T Tanaka, D.M.D.
• Katherine M Tanaka, DDS
• Neil Steven Tanay
• Irena Tang, MD
• Mui Kee Tang
• Jeffrey K. Taniyama, PHARM.D.
• Kirstin Tanjuaquio
• Robert William Tankersley
• Dora Maria Tapia Monge
• Kelly Tapia-Nava

• Community/Behavioral Health Agency in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.