HEATHER B MANDEVILLE (NPI# 1487165072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487165072 |
| Entity Type | Individual |
| Full Name | HEATHER B MANDEVILLE |
| Other Name | HEATHER B FLYNN |
| Credential | LCSW |
| Practice Address |
70 James St. Suite #270 Worcester MA 01603 |
| Practice Telephone | 5085527401 |
| Practice Fax Number | 5083630562 |
| Mailing Telephone | 5085527401 |
| Mailing Fax Number | 5083630562 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCSW224417 | MA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619119773 | Heather Mandeville | Pharmacist | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2009-04-03 |
| Street Address |
70 JAMES ST. SUITE #270 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134783228 | Drx Uc Worcester PC | Family Medicine | 117 A Stafford St, Worcester, MA 01603 | 2019-04-24 |
| 1952812059 | Jeffrey S Jones II | Social Worker | 70 James St Ste 270, Worcester, MA 01603 | 2017-10-16 |
| 1497275796 | Ardent Companion Homecare LLC | Home Health | 93 Stafford Street, Suite 202, Worcester, MA 01603 | 2017-06-27 |
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1023562048 | Isha Sood | Dentist | Dental Dreams, 68 Stafford Street, Worcester, MA 01603 | 2016-08-08 |
| 1316395742 | Brandie Casassa | Counselor | 55 Seminole Drive, Worcester, MA 01603 | 2016-05-26 |
| 1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
| 1093124182 | Taylor Pearson | Counselor | 24 Alsada Drive, Worcester, MA 01603 | 2014-08-04 |
| 1861732158 | Christiana Acheampong | Student in an Organized Health Care Education/Training Program | 540 Park Avenue, Worcester, MA 01603 | 2013-02-22 |
| 1760731343 | Rosanne Catacchio | Counselor | 548 Park Avenue, Worcester, MA 01603 | 2012-08-29 |
| Find all providers in zip 01603 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834847 | Brenna Morgan | Counselor | 2 Duncannon Ave Apt 9, Worcester, MA 01604-5139 | 2020-09-01 |
| 1043820384 | Dylan Gibbons | Counselor | 62 Wedgewood Rd, Worcester, MA 01602-1027 | 2020-08-02 |
| 1457977316 | Taylor Neil | Counselor | 2 Norton St, Worcester, MA 01605-3311 | 2020-06-17 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1932746708 | Jason Boyle | Counselor | 495 Grove St, Worcester, MA 01605-1242 | 2019-11-29 |
| 1487290524 | Jennifer Carol Jackson | Counselor | 76 Vassar St, Worcester, MA 01602-1535 | 2019-11-25 |
| 1679119853 | Stephanie K Corio | Counselor | 102 Plantation St Apt 3, Worcester, MA 01604-4043 | 2019-11-21 |
| 1669018388 | Alyssa Lynne Szymkowicz | Counselor | 2b Pelham Street, Apartment 3, Worcester, MA 01609 | 2019-11-19 |
| 1306480678 | Joy Robinson | Counselor | 44 Byron St Apt 32, Worcester, MA 01606-2837 | 2019-10-30 |
| 1841840063 | Paulina Brunelle | Counselor | 324 Clark St Rear 2, Worcester, MA 01606-1214 | 2019-09-19 |
| Find all providers in WORCESTER | ||||
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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.