EFRAIN BAEZ (NPI# 1396952149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396952149 |
| Entity Type | Individual |
| Full Name | EFRAIN BAEZ |
| Credential | L.A.D.C II |
| Practice Address |
142 Crescent St Brockton MA 02302-3104 |
| Practice Telephone | 5089410005 |
| Practice Fax Number | 5084276915 |
| Mailing Telephone | 5089410005 |
| Mailing Fax Number | 5084276915 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
662 | MA | Behavioral Health & Social Service Providers |
| Street Address |
142 CRESCENT ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861941890 | Lea Stephanie Rojas Otero | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2016-10-03 |
| 1457747131 | Gloria Alfaro-nieves | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-04-09 |
| 1699168112 | Julia Martins | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-03-09 |
| 1629466982 | Karina Perona-fassi | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2015-01-08 |
| 1063832913 | Maria Amelia Gomes | Counselor | 142 Crescent St, Brockton, MA 02302-3104 | 2014-04-18 |
| 1225452097 | Jason Yamil Perez I | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2014-02-13 |
| 1588000178 | Fritzlaine Thermidor | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Brockton, MA 02302-3104 | 2013-05-22 |
| 1093062754 | Basile Bazina | Counselor | 142 Crescent St, Second Floor, Brockton, MA 02302-3104 | 2012-08-12 |
| 1588911713 | Casandra Ann Smaller | Student in an Organized Health Care Education/Training Program | 142 Crescent St, 2nd Floor, Brockton, MA 02302-3104 | 2012-08-07 |
| 1336421007 | Jimmy Efrain Guity | Student in an Organized Health Care Education/Training Program | 142 Crescent St, Brockton, MA 02302-3104 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1720540156 | Nicilda Dejesus | Counselor | 204 Chatham West Dr, Brockton, MA 02301-1314 | 2019-04-04 |
| 1285160838 | Maria Atherton Jr. | Counselor | 17 Snell St, Brockton, MA 02301-1644 | 2017-05-02 |
| 1467726398 | Carin Rhodes | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2012-02-23 |
| 1073817573 | Daniel Mendes Depina | Counselor | 682 North Main Street, Apt. 308, Brockton, MA 02301-3626 | 2010-12-27 |
| 1063713402 | Judith R Chaskes | Counselor | 30 Meadowbrook Road, Brockton, MA 02301 | 2010-11-16 |
| 1093957185 | Jerome P Posey | Counselor | 1311 Main St, Brockton, MA 02301-7109 | 2009-04-03 |
| 1548441587 | Sylvester Pereira Fortes | Counselor | 20 Hope St, Brockton, MA 02302-3415 | 2007-11-19 |
| 1184817579 | George Hamilton Brickhouse Jr. | Counselor | 108 Centre Street, Brockton, MA 02302 | 2007-08-20 |
| 1720282130 | Kathleen Mary Mckenna | Counselor | 225 Liberty St, Brockton, MA 02301-5571 | 2007-06-12 |
| Find all providers in BROCKTON | ||||
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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.