TAMARA ANN BUCKLEY LECLERC (NPI# 1023586054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023586054 |
Entity Type | Individual |
Full Name | TAMARA ANN BUCKLEY LECLERC |
Practice Address |
29 E Mountain St Worcester MA 01606-1400 |
Mailing Address |
179 West Rd Ashby MA 01431-2240 |
Practice Telephone | 5087550556 |
Mailing Telephone | 9783862379 |
Enumeration Date | 2018-11-07 |
Last Update Date | 2018-11-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
Street Address |
29 E MOUNTAIN ST |
City | WORCESTER |
State | MA |
Zip Code | 01606-1400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669778577 | Courtney Carpenter | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2011-02-10 |
1962051748 | Ellen Mccauley | Student in an Organized Health Care Education/Training Program | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-09-05 |
1366009052 | Natasha Eve Stutsman-hubbell | Social Worker | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-05-29 |
1174189260 | Evan Polakowski | Case Manager/Care Coordinator | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-05-14 |
1306308960 | Judith Ellen Donahue | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2019-04-03 |
1154816767 | Laura Maria Lopez | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2018-06-26 |
1053820779 | Rebecca Anne Zwicker | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-09-26 |
1093243560 | Ahmed Al Rubaye | Social Worker | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-05-30 |
1376078576 | Ibtisam Alsheikh | Counselor | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-04-25 |
1558896944 | Joel Ashema | Social Worker | 29 E Mountain St, Worcester, MA 01606-1400 | 2017-04-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
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Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366918724 | Coretta Mcgill | Peer Specialist | 12 Montague St, Worcester, MA 01603-3125 | 2018-10-23 |
1275143646 | Teresa Phelan | Peer Specialist | Umass Memorial Medical Center, 55 Lake Avenue North, Psychiatry, Worcester, MA 01655 | 2020-07-31 |
1922493378 | Jennifer Oconnor | Peer Specialist | 26 Queen St, Worcester, MA 01610-2473 | 2015-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010043 | Christopher Solomon | Peer Specialist | 8201 Inwood Dr, Woburn, MA 01801-5161 | 2020-07-14 |
1346878725 | Dynamicare Health | Peer Specialist | 288 Norfolk St Ste 4, Cambridge, MA 02139-1430 | 2020-03-31 |
1114553989 | Theresa Buccico | Peer Specialist | 284 Union Ave, Framingham, MA 01702-6318 | 2020-03-12 |
1235762741 | Peter Douglas Mantell IIi | Peer Specialist | 130 Millers Falls Rd, Turners Falls, MA 01376-2250 | 2020-02-13 |
1083259154 | Darlene Cruz | Peer Specialist | 5121 Crane Brook Way, Peabody, MA 01960-8526 | 2019-11-13 |
1700437571 | Edith Silva | Peer Specialist | 131 W Main St Ste 101, Orange, MA 01364-1157 | 2019-09-24 |
1225505720 | Stephanie Wamback | Peer Specialist | 20 Green St # 2, Dudley, MA 01571-3210 | 2018-11-01 |
1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
1891219747 | Daniel Robert Proulx | Peer Specialist | 2 Endicott Ave, Marblehead, MA 01945-1617 | 2017-08-02 |
1093256133 | Bonnie J Peterson | Peer Specialist | 5 Wakefield Ave, Saugus, MA 01906-2711 | 2017-03-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.