ALVIN DAVE LACKARD (NPI# 1124636808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124636808 |
| Entity Type | Individual |
| Full Name | ALVIN DAVE LACKARD |
| Practice Address |
3313 Washington St Jamaica Plain MA 02130-2691 |
| Mailing Address |
24 Maryland St Apt 2 Dorchester MA 02125-4165 |
| Practice Telephone | 6175227008 |
| Mailing Telephone | 8609387205 |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3313 WASHINGTON ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-2691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164469946 | Dan J Siskind | Psychiatry & Neurology | 3313 Washington St, Suite 1 Pact, Jamaica Plain, MA 02130 | 2006-06-01 |
| 1568079515 | Jarrett Piette | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-09-24 |
| 1942815493 | Tenealia Ann Gilmore | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-09-11 |
| 1568070050 | Charlotte Wells | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-07-21 |
| 1609484054 | Maya Luckett | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-07-21 |
| 1245869379 | Annette Mooney | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-04-01 |
| 1710513197 | Mary O'sullivan | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-03-18 |
| 1902455637 | Shaneese Byrd | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2019-09-05 |
| 1851946834 | Sophie E Sao | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2019-08-06 |
| 1356900500 | Jennifer Lee Conneely | Social Worker | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058980 | Melissa Catherine Tineo | Counselor | 555 Amory St Ste 205, Jamaica Plain, MA 02130-2652 | 2019-11-26 |
| 1063970853 | Laquaysia Anderson-jenkins | Counselor | 555 Armory St Ste 3, Jamaica Plain, MA 02130-2672 | 2019-03-11 |
| 1023534773 | Lisa M Searcy | Counselor | 555 Amory St Ste 300, Jamaica Plain, MA 02130-2652 | 2017-08-15 |
| 1255861563 | Kenneth Charles Byl | Counselor | 64 Green St Apt 7, Jamaica Plain, MA 02130-2274 | 2017-06-19 |
| 1073042958 | Bridgette Dede Sarblah | Counselor | 964 Parker St, Jamaica Plain, MA 02130-1553 | 2017-06-05 |
| 1447608948 | Rand Chaqmaqchee | Counselor | 31 Heath St Fl 3, Jamaica Plain, MA 02130-1650 | 2016-05-25 |
| 1346616562 | Ronald Bruce White | Counselor | 21 Greenough Ave, Jamaica Plain, MA 02130-2859 | 2015-08-12 |
| 1003293457 | Ryan Spina | Counselor | 58 Dunster Rd # 1, Jamaica Plain, MA 02130-2704 | 2015-05-05 |
| 1568787240 | Miozoty Rosario | Counselor | 287 Forest Hills St # 3, Jamaica Plain, MA 02130-3668 | 2010-04-06 |
| 1609484054 | Maya Luckett | Counselor | 3313 Washington St, Jamaica Plain, MA 02130-2691 | 2020-07-21 |
| Find all providers in JAMAICA PLAIN | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on ALVIN DAVE LACKARD.
| 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.