Healthcare Provider Details

I. General information

NPI: 1033346416
Provider Name (Legal Business Name): DEANNE LYNN ALMEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 FLORENCE ST
BUZZARDS BAY MA
02532-3727
US

IV. Provider business mailing address

PO BOX 196
MONUMENT BEACH MA
02553-0196
US

V. Phone/Fax

Practice location:
  • Phone: 774-454-1334
  • Fax:
Mailing address:
  • Phone: 774-454-1334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number119299
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: