SAMANTHA KASSANDRA DEVEAU


Address: 5110 Washington St Apt 6, West Roxbury, MA 02132-5212
Phone: 8573133343

SAMANTHA KASSANDRA DEVEAU (NPI# 1962032144) 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) 1962032144
Entity Type Individual
Full Name SAMANTHA KASSANDRA DEVEAU
Credential LCSW
Practice Address 5110 Washington St Apt 6
West Roxbury
MA 02132-5212
Practice Telephone 8573133343
Mailing Telephone 3478336554
Enumeration Date 2020-01-16
Last Update Date 2020-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
224095 MA Behavioral Health & Social Service Providers

Office Location

Street Address 5110 WASHINGTON ST APT 6
City WEST ROXBURY
State MA
Zip Code 02132-5212

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1992299663 Ashley Monteiro Counselor 15 Elgin St, West Roxbury, MA 02132 2018-06-18
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1013303437 Alaa Alrababa I Dentist 125 Edgemere Road, 202, West Roxbury, MA 02132 2015-04-13
1023426483 Kearstin F. Thomas D.m.d.,pc Dentist 2075 Centre Street, West Roxbury, MA 02132 2014-07-30
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1629324652 Mohamed Al-janabi Dentist 250 Spring St, Apt 18, West Roxbury, MA 02132 2012-07-27
1265704787 Ronda Denise Jones Case Manager/Care Coordinator 2077 Centre Street, West Roxbury, MA 02132 2012-01-30
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1972114411 Doris Osiimwe Johnson Counselor 52 Elaine Cir # 52, Springfield, MA 01109-1205 2020-08-10
1538789649 Catherine G. Mueller-bell Counselor 525 Mattakeesett St, Pembroke, MA 02359-2918 2020-04-18
1982247318 Taryn Reynolds Counselor 463 Worcester Rd Ste 406, Framingham, MA 01701-5354 2019-10-17
1952943284 Sagamore Counseling Counselor 345 Old Plymouth Rd, Sagamore Beach, MA 02562-2304 2019-10-08
1366008617 Couples Therapy Inc. Counselor 204 Arsenal St, Watertown, MA 02472-2781 2019-05-13
1457916264 Heather E Revill Counselor 98 Fair Dr, Somerset, MA 02726-5926 2019-05-07
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Competitor

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City WEST ROXBURY
Zip Code 02132

Improve Information

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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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