SHANTANETTE PATRICE (NPI# 1649319013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649319013 |
| Entity Type | Individual |
| Full Name | SHANTANETTE PATRICE |
| Credential | MSW |
| Practice Address |
55 New Dudley St John D Obryant Sbhc Roxbury MA 02119 |
| Mailing Address |
1010 Massachusetts Avenue Boston MA 02118 |
| Practice Telephone | 6175349940 |
| Practice Fax Number | 6175349948 |
| Mailing Telephone | 6175342398 |
| Mailing Fax Number | 6175344688 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
55 NEW DUDLEY ST JOHN D OBRYANT SBHC |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073652459 | Sandra Mccurbin | Nurse Practitioner | 55 New Dudley St, John D Obryant Sbhc, Roxbury, MA 02119 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346724960 | Rachel Eileen Jenner | Social Worker | 520 Dudley St, Roxbury, MA 02119-2769 | 2018-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578911 | Samantha Bridge | Social Worker | 26 Regina Rd, Lynn, MA 01904-1019 | 2020-11-03 |
| 1922623867 | Margaret Ann Mulcahy | Social Worker | 32 Hidden Cv, Plymouth, MA 02360-6629 | 2020-06-16 |
| 1558997023 | Elaine Garcia | Social Worker | 525 Essex St Apt 205, Lawrence, MA 01840-1241 | 2020-03-17 |
| 1821643743 | Linda Toussaint | Social Worker | 34 Nye St, Springfield, MA 01104-2312 | 2019-08-07 |
| 1922567031 | Valerie Patricia Moriceau | Social Worker | 111 Robbins Rd, Walpole, MA 02081-1940 | 2019-03-18 |
| 1538623103 | Sarah K Hiebert | Social Worker | 50 Beechcroft St, Brighton, MA 02135-2519 | 2019-01-28 |
| 1225502818 | Anna Greenberg | Social Worker | Framingham High School, 115 A St., Framingham, MA 01701 | 2019-01-16 |
| 1265905731 | Catherine Mary Horkan | Social Worker | 50 Lanark Rd, Malden, MA 02148-1609 | 2019-01-08 |
| 1689147480 | Carol Connery | Social Worker | 837 Longmeadow St, Longmeadow, MA 01106-2218 | 2019-01-04 |
| 1982176111 | Nicole Maire Shepardson | Social Worker | 50 Bushey Rd, Pittsfield, MA 01201-4405 | 2018-12-28 |
| Find all providers with the same taxonomy | ||||
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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.