Provider Demographics
NPI:1194200568
Name:LOVETT, BEVERLY (DSW)
Entity Type:Individual
Prefix:
First Name:BEVERLY
Middle Name:
Last Name:LOVETT
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PARKERS GROVE LN
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4736
Mailing Address - Country:US
Mailing Address - Phone:781-254-6927
Mailing Address - Fax:
Practice Address - Street 1:15 PARKERS GROVE LN
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4736
Practice Address - Country:US
Practice Address - Phone:781-254-6927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1074631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical