TAVERLY JUDE SOUSA LICSW
NPI 1558878264
Counselor - Mental Health in Brookline, MA

Q: What is Taverly Sousa's NPI number?

The NPI number for Taverly Sousa is 1558878264. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Q: What is Taverly Sousa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Taverly Sousa was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 03, 2018

33 POND AVE # B207, BROOKLINE, MA 02445(617) 739-0075 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Taverly Jude Sousa Licsw NPPES

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

TAVERLY JUDE SOUSA LICSW (NPI 1558878264) is an individual mental health provider in Brookline, Massachusetts, licensed in Massachusetts (106122) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1558878264

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameTAVERLY JUDE SOUSACredential: LICSW

Location Address33 POND AVE # B207Brookline, MA 02445-7163

Mailing Address33 Pond Ave # B207Brookline, MA 02445-7163 · (617) 739-0075

Phone(617) 739-0075

Sole ProprietorYes

Enumeration DateJanuary 3, 2018

✔ NPI 1558878264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MA · 106122

33 POND AVE # B207, Brookline, MA 02445

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Other Identifiers 1

Other106122MA · Licensed Independant Clinical Social Worker

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 Taverly Sousa's NPI number?

The NPI number for Taverly Sousa is 1558878264. It was assigned to this individual provider in the NPPES registry on January 3, 2018.

Where is Taverly Sousa located?

Taverly Sousa practices at 33 Pond Ave # B207, Brookline, MA 02445. The listed phone number is (617) 739-0075.

What is Taverly Sousa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Taverly Sousa was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.