MS. JACQUELINE SMITH (NPI# 1255710851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255710851 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE SMITH |
| Practice Address |
40 Dimock Services Roxbury MA 02119-0000 |
| Practice Telephone | 6174428800 |
| Practice Fax Number | 6174426268 |
| Mailing Telephone | 6174428800 |
| Mailing Fax Number | 6174426268 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503543 | Jacqueline Maree Smith | Counselor | 8877 Frankway Dr Apt 4442, Houston, TX 77096-1909 | 2020-09-18 |
| 1336761816 | Jacqueline Smith | Behavior Technician | 2810 Premiere Pkwy, Duluth, GA 30097-5014 | 2020-05-07 |
| 1659925337 | Jacqueline Gajewski Smith | Nurse Practitioner | 130 Se Crestwood Cir, Stuart, FL 34997-7438 | 2019-07-30 |
| 1639737810 | Jacqueline Brooks Smith | Registered Nurse | 3570 Cherry Run Rd, Rimersburg, PA 16248-5628 | 2019-06-03 |
| 1366907941 | Jacqueline Lynette Smith | Student in an Organized Health Care Education/Training Program | 9258 Culebra Rd Ste 140, San Antonio, TX 78251-2877 | 2019-02-07 |
| 1902256373 | Jacqueline Smith | Speech-Language Pathologist | 1110 Chestnut St, Fremont, OH 43420-4312 | 2016-06-16 |
| 1225405293 | Jacqueline Deana Smith | Registered Nurse | 3187 E Hudson St, Columbus, OH 43219-1632 | 2015-08-26 |
| 1174999395 | Jacqueline A Smith | Home Health | 3730 Fm 1960 Rd W Ste 210, Houston, TX 77068-3508 | 2015-08-12 |
| 1013353432 | Jacqueline Marie Smith | Recreation Therapist | 2616 Erwin Ave, Dupont, WA 98327-8758 | 2013-05-13 |
| 1578906368 | Jacqueline Michelle Smith | Occupational Therapy Assistant | 3510 E Hampton Ave, #88, Mesa, AZ 85204-6430 | 2013-04-10 |
| Street Address |
40 DIMOCK SERVICES |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661511 | A Bucket for The Well LLC. | Counselor | 100 Warren St Ste 1a, Roxbury, MA 02119-3259 | 2020-08-28 |
| 1689292831 | Maria Pia Biggs | Counselor | 409 Walnut Ave, Roxbury, MA 02119-3133 | 2020-07-13 |
| 1699322313 | Kristen Lourens | Counselor | 64b Regent St, Roxbury, MA 02119-1980 | 2019-08-19 |
| 1366954570 | Anthony Dewayne Quarles Jr. | Counselor | 520 Dudley St Fl 2, Roxbury, MA 02119-2769 | 2017-10-27 |
| 1043694060 | Jennifer Price | Counselor | 82 Rockland St, Apt. 3f, Roxbury, MA 02119-1966 | 2015-07-20 |
| 1154749331 | Keyana Jones | Counselor | 11 Roxbury St Fl 2, Roxbury, MA 02119-1720 | 2014-04-03 |
| 1902221344 | Lakia Cherry | Counselor | 11 Roxbury St, Second Floor, Roxbury, MA 02119-1720 | 2014-02-21 |
| 1942633748 | Gelen Zepeda | Counselor | 1544 Columbus Ave, Roxbury, MA 02119-1026 | 2013-08-15 |
| 1932547353 | Chandra C Williams | Counselor | 504 Dudley Street, Roxbury, MA 02121 | 2013-06-07 |
| 1790034270 | Lisa Santos | Counselor | 7b Smith Street, Roxbury, MA 02120-2701 | 2012-08-30 |
| Find all providers in ROXBURY | ||||
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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.