Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlotte Baillieul, CNP, RN, LICSW

Individual provider Clinical Social Worker · NPI 1235436171

Charlotte Baillieul, CNP, RN, LICSW is a Clinical Social Worker in Jamaica Plain, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in
MA
In the registry since
2011
Specialties on file
3
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1125 Centre St
Jamaica Plain, MA 02130
Phone: (617) 645-5249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2312255 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 118396 (MA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN2312255 (MA)

Record details

NPI number1235436171
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP , RN , LICSW
Sole proprietorNo
NPI enumeratedFebruary 11, 2011
Last updated in NPPESOctober 4, 2018

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