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JEANNE MARY INTERNICOLA
NPI 1306345483
Counselor - Addiction (Substance Use Disorder) in South Boston, MA

Active since February 05, 2018
210 OLD COLONY AVE, SOUTH BOSTON, MA 02127(617) 268-5000 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeanne Mary Internicola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNE MARY INTERNICOLA (NPI 1306345483) is an individual addiction (substance use disorder) provider in South Boston, Massachusetts, licensed in Massachusetts (1915) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1306345483
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJEANNE MARY INTERNICOLA
Location Address210 OLD COLONY AVESouth Boston, MA 02127-2413
Mailing Address675 E 4th StSouth Boston, MA 02127-3063 · (617) 268-5000
Phone(617) 268-5000
Sole ProprietorNo
Enumeration DateFebruary 5, 2018
✔ NPI 1306345483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MA · 1915
210 OLD COLONY AVE, South Boston, MA 02127
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Other Identifiers 1

Medicaid043220123MA

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA MESA LCSW
Social Worker (Clinical)
210 OLD COLONY AVE
BOSTON, MA 02127
Suffolk County (617) 268-5000
JOHN NESTOR LADC 1
Counselor (Addiction (Substance Use Disorder))
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-5000
FABIENNE ERRIE MHA
Counselor (Addiction (Substance Use Disorder))
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (781) 353-1967
LISA MACGILLIVRAY
Counselor (Mental Health)
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-5000
MOLLY KATHLEEN CONWAY
Counselor
210 OLD COLONY AVE
BOSTON, MA 02127
Suffolk County (617) 268-5000
KATHRYN ELIZABETH FACKINA MA
Counselor (Mental Health)
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-5000
KERRIANN M BRELAND LCSW
Social Worker
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (857) 496-4098
MARGARET REARDON
Social Worker
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127
Suffolk County (617) 268-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeanne Internicola's NPI number?

The NPI number for Jeanne Internicola is 1306345483. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is Jeanne Internicola located?

Jeanne Internicola practices at 210 Old Colony Ave, South Boston, MA 02127. The listed phone number is (617) 268-5000.

What is Jeanne Internicola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeanne Internicola was last updated on February 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.