=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417778978
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL ELIZABETH SOUZA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2024
-----------------------------------------------------
Last Update Date | 10/17/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1565 N MAIN ST
-----------------------------------------------------
City | FALL RIVER
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02720-2972
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-324-1060
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26 FRANKLIN ST
-----------------------------------------------------
City | MEDWAY
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02053-1632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-277-2126
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------