NORTHEAST BEHAVIORAL HEALTH (NPI# 1134462310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134462310 |
| Entity Type | Organization |
| Organization Name | NORTHEAST BEHAVIORAL HEALTH |
| Practice Address |
41 Mason St 4 Salem MA 01970-2260 |
| Mailing Address |
41 Mason St. 4 Salem MA 01970 |
| Practice Telephone | 7348340324 |
| Mailing Telephone | 7348340324 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |
| Authorized Official Name | MS. JENNIFER IRENE FREIDEL (EMERGENCY SERVICES CLINICIAN) |
| Authorized Official Telephone | 7348340324 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
217242 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316202625 | Northeast Behavioral Health | Substance Abuse Rehabilitation Facility | 111 Middleton Rd, Danvers, MA 01923-4000 | 2012-07-12 |
| 1982967741 | Northeast Behavioral Health | Community/Behavioral Health | 12 Methuen St, #2, Lawrence, MA 01840-1700 | 2012-06-18 |
| 1356603740 | Northeast Behavioral Health | Clinic/Center | 27 Congress St, Salem, MA 01970-7309 | 2012-06-12 |
| 1750654315 | Northeast Behavioral Health | Clinic/Center | 60 Merrimack St, Haverhill, MA 01830-6207 | 2012-02-13 |
| 1487939054 | Northeast Behavioral Health | Community/Behavioral Health | 60 Merrimack St, Haverhill, MA 01830-6207 | 2011-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NORTHEAST BEHAVIORAL HEALTH ASSOCIATES, INC. | 145 Faunce Corner Rd., Ste K, No. Dartmouth, MA 02747 |
| System for Award Management (SAM) Entities | NORTHEAST BEHAVIORAL HEALTH CORPORATION | 199 Rosewood Dr Ste 250, Danvers, MA 01923-1388 |
| Street Address |
41 MASON ST 4 |
| City | SALEM |
| State | MA |
| Zip Code | 01970-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023184454 | Kali K Guilmet | Counselor | 41 Mason St, # 6, Salem, MA 01970-2253 | 2006-11-28 |
| 1588169734 | Adrienne Rene Berry-burton | Counselor | 41 Mason St, Salem, MA 01970-2260 | 2018-03-29 |
| 1689172181 | Rudolph Valadez IIi | Counselor | 41 Mason St, Salem, MA 01970-2260 | 2018-01-30 |
| 1396267027 | Sharon Snaggs Gendron | Social Worker | 41 Mason St, Salem, MA 01970-2260 | 2017-07-14 |
| 1467992529 | Daniel Perry Lloyd | Counselor | 41 Mason St, Salem, MA 01970-2260 | 2017-03-08 |
| 1598208654 | Kelsey Brey | Counselor | 41 Mason St, Salem, MA 19539 | 2016-11-22 |
| 1033669874 | Emily Normand | Counselor | 41 Mason St, Unit 2, Salem, MA 01970-2260 | 2016-10-05 |
| 1487001004 | Lillian Nye | Counselor | 41 Mason St, Suite 1, Salem, MA 01970-2260 | 2016-05-24 |
| 1346697554 | Sara Emily Graham | Counselor | 41 Mason St, 1, Salem, MA 01970-2260 | 2016-05-17 |
| 1942666706 | Patrick Sullivan | Counselor | 41 Mason St, Salem, MA 01970-2260 | 2016-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1891321360 | Jacqueline Alice Senn | Social Worker | 5 Dove Ave, Salem, MA 01970-2944 | 2020-03-17 |
| 1336775113 | Karen A. Chambers Msw, Lcsw | Social Worker | 910 Capitol St Ne Ste D, Salem, OR 97301-1201 | 2020-03-12 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1144860958 | Be Still and Grow | Social Worker | 1265 Waller St Se, Salem, OR 97302-2830 | 2020-01-09 |
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1205489531 | Melissa Whitney Humphries | Social Worker | 375 Taylor St Ne Bldg 1, Salem, OR 97301-8340 | 2019-07-16 |
| 1265091656 | Kimberly Ann Nixon | Social Worker | 4236 Bluff Ave Se, Salem, OR 97302-1812 | 2019-06-10 |
| 1548732183 | Angela Jameson | Social Worker | 1970 Roanoke Blvd Bldg 8, Salem, VA 24153-6404 | 2018-12-20 |
| 1346718780 | Julie N Tapper | Social Worker | 211 Lafayette St, Salem, MA 01970-4769 | 2018-11-04 |
| Find all providers in SALEM | ||||
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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.