HEATHER B MANDEVILLE


Address: 70 James St., Suite #270, Worcester, MA 01603
Phone: 5085527401

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).

Provider Overview

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

Taxonomy

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

Other Providers HEATHER MANDEVILLE

NPI Name Taxonomy Address Enumeration
1619119773 Heather Mandeville Pharmacist 6420 Clayton Rd, Saint Louis, MO 63117-1811 2009-04-03

Office Location

Street Address 70 JAMES ST.
SUITE #270
City WORCESTER
State MA
Zip Code 01603

Providers in the same zip code

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 Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City WORCESTER
Zip Code 01603

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Dataset Information

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.

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