# BLUE CIRCLE HEALTH CLINICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLUE CIRCLE HEALTH INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235939927
- **Legal business name:** BLUE CIRCLE HEALTH INC
- **Authorized official:** LUCESITA SCAMMON (PROGRAM MANAGER)
- **Authorized official phone:** (413) 213-2918

## Contact information

- **Practice address:** 56 BROAD ST STE 14281, BOSTON, MA 02109-4301
- **Practice address phone:** (888) 404-4813
- **Practice address fax:** (888) 675-4061
- **Mailing address:** 56 BROAD ST STE 14281, BOSTON, MA 02109-4301
- **Mailing address phone:** (888) 404-4813
- **Mailing address fax:** (888) 675-4061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/13/2025
- **Last updated:** 10/31/2025