BETH MARY O'CONNELL (NPI# 1447733050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447733050 |
| Entity Type | Individual |
| Full Name | BETH MARY O'CONNELL |
| Credential | LICSW |
| Practice Address |
365 East St Tewksbury MA 01876-1950 |
| Mailing Address |
365 East St Tewksbury MA 01876-1998 |
| Practice Telephone | 9788517321 |
| Practice Fax Number | 9788632209 |
| Mailing Telephone | 9788517321 |
| Mailing Fax Number | 9788632209 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
115742 | MA | Behavioral Health & Social Service Providers |
| Street Address |
365 EAST ST |
| City | TEWKSBURY |
| State | MA |
| Zip Code | 01876-1950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457342420 | Samir Pravinchandra Patel | Psychiatry & Neurology | 365 East St, Tewksbury, MA 01876-1950 | 2005-10-31 |
| 1306455662 | Joe Biaty | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2020-07-23 |
| 1811514052 | Alexa-rae Fabiano | Registered Nurse | 365 East St, Tewksbury, MA 01876-1950 | 2020-07-04 |
| 1316564131 | Michelle Charney Mcintosh | Clinical Nurse Specialist | 365 East St, Tewksbury, MA 01876-1950 | 2020-06-27 |
| 1114498227 | Sherin Aygun | Counselor | 365 East St, Tewksbury, MA 01876-1950 | 2018-12-16 |
| 1205310810 | Junie Joseph | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-09-19 |
| 1316420466 | Nancy Simon Fennessy | Social Worker | 365 East St, Tewksbury, MA 01876-1998 | 2018-09-13 |
| 1861975229 | Cassandra Eliane Sampas | Social Worker | 365 East St, Tewksbury, MA 01876-1998 | 2018-09-12 |
| 1376024646 | Karin Orr | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-08-24 |
| 1245710995 | Karyl J Daley | Social Worker | 365 East St, Tewksbury, MA 01876-1950 | 2018-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114224672 | Make It Easy Medical Devices | Durable Medical Equipment & Medical Supplies | 410 Woburn Street, Tewksbury, Tewksbury, MA 01876 | 2011-02-18 |
| 1538329883 | Donna M Schneider | Mechanotherapist | 1 Dundee Park, Suites 1 & 2, Andover, MA 01876 | 2008-06-11 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1801086434 | Yvonne Marie Canuel | Long Term Care Hospital | 265 East Street, Tewksbury, MA 01876 | 2007-07-30 |
| 1851511661 | Sandra Lee Proulx | Licensed Practical Nurse | 10 Arnold Rd, Tewksbury, MA 01876 | 2007-04-26 |
| 1710004320 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Tewksbury State Hosp Special Bldg - Merrimack Ctr Birtp, 365 East St, Tewksbury, MA 01876 | 2007-03-26 |
| 1316002884 | Robert A Karr | Psychiatry & Neurology | North East Area Office, Tewksbury, MA 01876 | 2006-12-26 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1457423154 | Boutselis Family Dental Care PC | Dentist | 381r Main Street, Tewksbury, MA 01876 | 2006-11-15 |
| 1477623189 | Commonwealth of Massachusetts Office for Pharmacy Services | Pharmacy | 369 East St, Tewksbury, MA 01876 | 2006-11-09 |
| Find all providers in zip 01876 | ||||
| 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 |
|---|---|---|---|---|
| 1740755768 | Karen Elizabeth Burns | Social Worker | 51 Evergreen Rd, Tewksbury, MA 01876-3577 | 2018-10-05 |
| 1861977589 | Christine Patterson | Social Worker | 14 Crawford Dr, Tewksbury, MA 01876-3004 | 2018-09-27 |
| 1154806180 | Susan Ann Coleman | Social Worker | 50 Emily Rd, Tewksbury, MA 01876-2203 | 2018-09-25 |
| 1932682242 | Susan Shwom | Social Worker | 365 East St Unit D4a5, Tewksbury, MA 01876-1998 | 2018-09-12 |
| 1063999290 | Luigina M Montefusco | Social Worker | 42 Rogers St Apt 17, Tewksbury, MA 01876-2698 | 2018-07-20 |
| 1407082753 | Banessa Gonell | Social Worker | 618 Ames Hill Dr, Tewksbury, MA 01876-1165 | 2009-06-01 |
| 1548307960 | Tania Gelormini Gianino | Social Worker | 70 Dunvegan Rd, Tewksbury, MA 01876-1362 | 2007-02-01 |
| 1215094735 | Robert Anthony Nazzaro Jr. | Social Worker | 155 Kendall Rd, Tewksbury, MA 01876-1361 | 2007-01-03 |
| 1659448769 | Barbara P Goldsher | Social Worker | 40 Chivas Circle, Tewksbury, MA 01876 | 2006-11-30 |
| 1669452462 | Bonnie Nessanbaum | Social Worker | 1565 Main St, Bld.2 Room 206, Tewksbury, MA 01876-2085 | 2006-01-18 |
| Find all providers in TEWKSBURY | ||||
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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.