Healthcare Provider Details

I. General information

NPI: 1871330456
Provider Name (Legal Business Name): CALI BEESON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 MASSACHUSETTS AVE
ARLINGTON MA
02476-5000
US

IV. Provider business mailing address

367 SOMERVILLE AVE APT I
SOMERVILLE MA
02143-2930
US

V. Phone/Fax

Practice location:
  • Phone: 781-645-9595
  • Fax:
Mailing address:
  • Phone: 610-806-6054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1142407
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: