Provider Demographics
NPI:1629451620
Name:QUEMERE, DAVID BEACHAM (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BEACHAM
Last Name:QUEMERE
Suffix:
Gender:M
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 LINCOLN STREET
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3048
Mailing Address - Country:US
Mailing Address - Phone:617-939-6475
Mailing Address - Fax:
Practice Address - Street 1:29 LINCOLN STREET
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3048
Practice Address - Country:US
Practice Address - Phone:617-939-6475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1021720LICSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical