Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristen Beaudouin, LICSW

Individual provider Clinical Social Worker · NPI 1073923918

Kristen Beaudouin, LICSW is a Clinical Social Worker in Jamaica Plain, Massachusetts. Graduated from Columbia University College of Physicians and Surgeons in 2011, 15 years ago. Practices with Arbour Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
15
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
MA, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
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

157 Green St
Jamaica Plain, MA 02130-2667
Phone: (617) 390-1259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 121226 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 085024 (NY)

Record details

NPI number1073923918
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESOctober 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2011 (15 years in practice)
Group practice Arbour Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jamaica Plain