MISS ANNELIESE DECKERT (NPI# 1770066714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770066714 |
| Entity Type | Individual |
| Full Name | MISS ANNELIESE DECKERT |
| Practice Address |
3 & 4 Blackburn Center Drive Gloucester MA 01930 |
| Mailing Address |
19 Langsford St Gloucester MA 01930-1013 |
| Practice Telephone | 9782837198 |
| Mailing Telephone | 9788799578 |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
3 & 4 BLACKBURN CENTER DRIVE |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1104340710 | Melinda Jane Eastman | Registered Nurse | 29 Emerson Avenue Glo, Gloucester, MA 01930 | 2017-07-26 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005163 | Cristisha Guadapule Mercado Liriano | Counselor | 25 Granite St Apt 1, Gloucester, MA 01930-3455 | 2019-10-26 |
| 1467918284 | Joseph Patrick Nadler | Counselor | 3 Blackburn Ctr Fl 2, Gloucester, MA 01930-2268 | 2019-02-17 |
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1558839563 | Suzanne M Degagne | Counselor | 150 E Main St Fl 1, Gloucester, MA 01930-3848 | 2018-11-07 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1508231382 | Jeremiah Sweet | Counselor | 25 Exchange St, Gloucester, MA 01930-3449 | 2015-12-05 |
| 1336511948 | Emily Interrante | Counselor | 9 Nally Ave, Gloucester, MA 01930-1662 | 2015-10-22 |
| 1548648918 | Robert Leo Duffy IIi | Counselor | 3 Blackburn Ctr, Gloucester, MA 01930-2268 | 2015-05-18 |
| Find all providers in GLOUCESTER | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
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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.