BEVERLY MAE CLARKE (NPI# 1477726404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477726404 |
| Entity Type | Individual |
| Full Name | BEVERLY MAE CLARKE |
| Credential | LADC1 |
| Practice Address |
181 Union St Ste B Lynn MA 01901-1310 |
| Practice Telephone | 7815819270 |
| Practice Fax Number | 7815818413 |
| Mailing Telephone | 7815819270 |
| Mailing Fax Number | 7815818413 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1315 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182659 | Beverly Clarke | Technician | 2247 Colston St, Petersburg, VA 23805-2203 | 2020-01-03 |
| 1871771840 | Beverly Jean Clarke | Registered Nurse | 1671 W Grant Rd, Tucson, AZ 85745-1433 | 2008-02-01 |
| 1407941214 | Beverly Simpler Clarke | Nurse Practitioner | 100 Brown St, Chestertown, MD 21620-1435 | 2006-10-04 |
| Street Address |
181 UNION ST STE B |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
| 1306387444 | Daniel Ginivan | Counselor | 382 Walnut St, Lynn, MA 01905-1180 | 2017-03-08 |
| 1225586167 | Dennis Romero | Counselor | 119 Henry Ave Apt 3, Lynn, MA 01902-3715 | 2016-09-21 |
| 1528366028 | Eric R Suranski | Counselor | 280 Union St Ste 2, Lynn, MA 01901-1355 | 2011-03-08 |
| 1831325240 | Kristen Cejka | Counselor | 181 Union Street, Project Cope Inc, Lynn, MA 01902 | 2009-06-01 |
| 1629216890 | Eileen Marie Walsh | Counselor | Eliot Communtiy Human Services 95 Pleasant St, Lynn, MA 01901-1524 | 2009-01-27 |
| 1699955385 | Sara Michelle Pernice | Counselor | 43 Carolyn Rd, Lynn, MA 01905-3005 | 2007-11-09 |
| 1114139524 | Kevin Francis Rogers | Counselor | 3 Clough St, Lynn, MA 01902-2609 | 2007-05-06 |
| 1528287224 | Michael Vincent Lozzi | Counselor | 302 Den Quarry Rd, Lynn, MA 01904-1323 | 2007-04-24 |
| 1972655082 | Sarah Elizabeth Pellini | Counselor | 11 Circle Ave, Lynn, MA 01905-3050 | 2007-01-17 |
| Find all providers in LYNN | ||||
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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.