Active NPI
Giliana Bolena Tavares, BA
- Social Worker
- North Dartmouth, MA
National Provider Identifier
1346516135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 145 Faunce Corner Rd Ste K
North Dartmouth, MA 02747-1263 - Phone
- (774) 206-1125
- NPI assigned
- Mar 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
145 Faunce Corner Rd Ste K
North Dartmouth, MA 02747-1263
Mailing address
42 Bourne St
Brockton, MA 02302-1431
Phone (508) 580-4453
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1346516135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BOURNE ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023021431",
"telephone_number": "508-580-4453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 FAUNCE CORNER RD STE K",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "027471263",
"telephone_number": "774-206-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAVARES",
"first_name": "GILIANA",
"middle_name": "BOLENA",
"name_prefix": "Mrs.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-27",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.