Miriah D Beaudoin
Individual provider Active NPI Clinical Social Worker · Chicopee, MA
NPI 1427366392 · NPPES record last updated Sep 14, 2010
Key facts
- NPI
- 1427366392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 111 Casino Ave
Chicopee, MA 01013-2561 - Phone
- (413) 265-1209
- NPI assigned
- Sep 14, 2010
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes |
Addresses
Primary practice location
111 Casino Ave
Chicopee, MA 01013-2561
Mailing address
111 Casino Avenue
Chicopee, MA 01013
Other providers in Chicopee, MA
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- Daria Ruth Basiibye
- Haruna Bature
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- Amber Marie Beauchemin
- Hannah Rose Beaulac
- James Bell
- Christopher James Bellany
- Zach Benoit
- Lisa Berkowitz
All providers in Chicopee, 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 Sep 14, 2010. 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.