Healthcare Provider Details

I. General information

NPI: 1164351987
Provider Name (Legal Business Name): BELMA MOREIRA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 ELM ST STE 310
DEDHAM MA
02026-4530
US

IV. Provider business mailing address

3102 FRANCIS AVE
MANSFIELD MA
02048-1575
US

V. Phone/Fax

Practice location:
  • Phone: 781-214-6590
  • Fax:
Mailing address:
  • Phone: 617-991-4054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberNA
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: