THERESA FERNANDES (NPI# 1811344187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811344187 |
| Entity Type | Individual |
| Full Name | THERESA FERNANDES |
| Practice Address |
1261 Furnace Brook Pkwy Ste 31 Quincy MA 02169 |
| Mailing Address |
18 Oak Ave Taunton MA 02780-4023 |
| Practice Telephone | 6174794545 |
| Mailing Telephone | 5089424942 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169 | 6174794545 | |
| 50 Indian Neck Rd, Wareham, MA 025712174 | 5082956264 | 5082950583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346756046 | Theresa Fernandes | Behavioral Analyst | 330 South Ave, Fanwood, NJ 07023-1325 | 2017-12-18 |
| Street Address |
1261 FURNACE BROOK PKWY STE 31 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861583015 | Robert Henry Baseman | Registered Nurse | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4762 | 2006-09-27 |
| 1184241671 | John Thomas Livick-moses | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2020-06-30 |
| 1467011841 | Debra Labar Rhines | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2019-06-10 |
| 1043747066 | Nicole Marie Warner | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2017-05-22 |
| 1003291121 | Meghan Blair | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2015-07-30 |
| 1720499536 | Dinna Khoy | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2014-05-14 |
| 1902061153 | Kimberly A Buffam | Nurse Practitioner | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4768 | 2008-07-26 |
| 1215153952 | Anne Modena | Social Worker | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4787 | 2007-04-18 |
| 1144341140 | Susan L Dubuc | Clinical Nurse Specialist | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4762 | 2007-04-03 |
| 1689764987 | Lucille Ann Mcgourty | Counselor | 1261 Furnace Brook Pkwy Ste 31, Quincy, MA 02169-4762 | 2006-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180541 | Andrea Franco | Social Worker | 1266 Furnace Brook Pkwy Ste 103b, Quincy, MA 02169-4785 | 2020-09-25 |
| 1093369779 | Elisabeth Lawrence Bryan | Social Worker | 34 Carle Rd, Quincy, MA 02170-2210 | 2019-07-30 |
| 1942781216 | Wendy Wilcoxen | Social Worker | 167 Fenno St, Quincy, MA 02170-3919 | 2018-08-24 |
| 1912493586 | Susan Evensen Tena | Social Worker | 141 Madison Ave, Quincy, MA 02169-7927 | 2018-07-07 |
| 1528550134 | Nanette Jean Campo | Social Worker | 56 Keating St, Quincy, MA 02169-8002 | 2018-05-31 |
| 1508354879 | Elizabeth Mooney Dixon | Social Worker | 20 Bishop Rd Apt 1, Quincy, MA 02170-3626 | 2018-04-23 |
| 1649770991 | Andrea A. Barbosa | Social Worker | 700 Congress St Ste 103, Quincy, MA 02169-0977 | 2018-02-13 |
| 1881123545 | Jennyfer Destin | Social Worker | 859 Willard Street, Quincy, MA 02170 | 2017-06-07 |
| 1841643996 | Anthony Brandon Williams Sr. | Social Worker | 201 Fenno St, Quincy, MA 02170-3959 | 2016-07-13 |
| 1588057590 | Mohammed Khairallah | Social Worker | 66 Tirrell St, Quincy, MA 02171-1661 | 2015-03-16 |
| Find all providers in QUINCY | ||||
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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.