Kristen Beaudouin, LICSW
NPI 1073923918ActiveIndividual· Social Worker, Clinical· Jamaica Plain, MA
Social Worker, Clinical (LICSW) in Jamaica Plain, Massachusetts, trained at Columbia University College of Physicians and Surgeons (class of 2011). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1073923918 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | No |
| NPI issued | Apr 30, 2014 |
| Last updated in NPPES | Oct 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 121226 | MA |
| Social Worker, Clinical | 1041C0700X | 085024 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MA) |
|---|
Education and affiliations
| Medical school | Columbia University College of Physicians and Surgeons |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Arbour IncBoston, MA · 19 clinicians
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