JUSTINE CARLUCCI (NPI# 1699114934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699114934 |
Entity Type | Individual |
Full Name | JUSTINE CARLUCCI |
Credential | LMFT |
Practice Address |
16 Samoset St Plymouth MA 02360-4544 |
Mailing Address |
295 Water St Apt 4 Quincy MA 02169-6550 |
Practice Telephone | 3392355116 |
Mailing Telephone | 3392355116 |
Enumeration Date | 2013-06-20 |
Last Update Date | 2018-01-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 1661 | MA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
36 Cordage Park Circle, Bay State Community Servicessuite 305a, Plymouth, MA 02360 | 5088303444 |
Street Address |
16 SAMOSET ST |
City | PLYMOUTH |
State | MA |
Zip Code | 02360-4544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962836932 | Kimberly D. Roth | Social Worker | 16 Samoset St, Plymouth, MA 02360-4544 | 2013-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
Find all providers in zip 02360 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790324077 | Jennifer Jasperson | Marriage & Family Therapist | 4345 Lawndale Ln N, Plymouth, MN 55446-1342 | 2020-01-03 |
1356844955 | Lindsay Nicole Keiser | Marriage & Family Therapist | 595 Forest Ave Ste 11b, Plymouth, MI 48170-1771 | 2018-03-10 |
1699140970 | Erika Workman | Marriage & Family Therapist | 212 Sandwich St, Plymouth, MA 02360-2438 | 2015-12-11 |
1538541347 | Pregnancy and Postpartum Support Minnesota | Marriage & Family Therapist | 1700 Niagara Ln N, Ste 201, Plymouth, MN 55447-4739 | 2015-06-29 |
1396151155 | Anne Merrill | Marriage & Family Therapist | 11129 Fellows Creek Dr, Plymouth, MI 48170-6359 | 2014-07-01 |
1992147144 | Brandy Tessa Brown | Marriage & Family Therapist | 1700 Niagara Ln N Ste 201, Plymouth, MN 55447-4911 | 2013-07-29 |
1154661833 | Jennifer Mcvann | Marriage & Family Therapist | 3370 Annapolis Ln N Ste C, Plymouth, MN 55447-5384 | 2013-02-18 |
1437419116 | Amy T Madson | Marriage & Family Therapist | 12800 Industrial Park Blvd Ste B50, Plymouth, MN 55441-3905 | 2012-05-29 |
1629346952 | Tamara Faye Phillips | Marriage & Family Therapist | 12805 Hwy 55 Ste 402, Plymouth, MN 55441-3868 | 2011-12-01 |
1578858569 | Erin Hurley Hundley | Marriage & Family Therapist | 36 Cordage Park Cir Ste 305, Plymouth, MA 02360-7332 | 2011-06-17 |
Find all providers in PLYMOUTH |
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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.