Christopher James Poulin, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4 Juniper Rd
Holbrook, MA 02343-1725

Phone

(508) 443-4008

NPI assigned

Jan 6, 2021

Last updated

Nov 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Mellori Mental Health

  • Clinical Social Worker
  • Holbrook, MA
  • NPI 1487523056
  NPD Authorized official

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1619565694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JUNIPER RD",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023431725",
            "telephone_number": "508-443-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JUNIPER RD",
            "city": "HOLBROOK",
            "state": "MA",
            "postal_code": "023431725",
            "telephone_number": "508-443-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1619565694",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet E. Paul, P.T.
• Pearl Dental Implant LLC
• Carmelle Jacques Pierre-Louis, RN
• Fabienne Pierre-Louis
• Ann Patricia Poppenga, M.S.ED, BCBA
• Janet Marilyn Price, M.ED.
• Jamie Ramirez
• Redfern Healing, Inc. (Redfern Acupuncture and Herbs)
• Kady Reid
• Robert P. Gallagher D.M.D., P.C.

• Social Worker in Holbrook, MA
• Providers in Holbrook, MA by specialty
• Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.