Melbourne Richard Moran Jr, MSW | |
97 Central St Ste 205a, Lowell, MA 01852-1943 | |
(978) 483-0182 | |
(603) 589-4981 |
Full Name | Melbourne Richard Moran Jr |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 97 Central St Ste 205a, Lowell, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871997379 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2094 (New Hampshire) | Secondary |
1041C0700X | Social Worker - Clinical | 120381 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wanderlust Therapeutic Services Pllc | 7012322753 | 2 |
Wanderlust Therapeutic Services Pllc | 7012322753 | 2 |
Entity Name | Bridgewell, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033262860 PECOS PAC ID: 6507833985 Enrollment ID: O20041227000515 |
Entity Name | Wanderlust Therapeutic Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225659600 PECOS PAC ID: 7012322753 Enrollment ID: O20230103000717 |
Mailing Address | Practice Location Address |
---|---|
Melbourne Richard Moran Jr, MSW 71 Spit Brook Rd Ste 407, Nashua, NH 03060-5636 Ph: (978) 483-0182 | Melbourne Richard Moran Jr, MSW 97 Central St Ste 205a, Lowell, MA 01852-1943 Ph: (978) 483-0182 |
Dorothea Anne Wolf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Lowell, MA 01852 Phone: 978-453-8331 Fax: 978-453-9254 | |
Victoria Reiszner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 319 Wilder St, Lowell, MA 01851 Phone: 978-452-4522 | |
Ms. Erin Maureen Hurley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Newhall Street #204, Lowell, MA 01852 Phone: 781-249-0996 | |
Miss Monica Lynn Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 97 Central St Ste 207, Lowell, MA 01852 Phone: 603-341-8875 | |
Kyle Matthew Correa, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Old Canal Dr, Lowell, MA 01851 Phone: 978-453-6800 | |
Vuth Pich, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Bridge St, The Simpson Block, Lowell, MA 01852 Phone: 781-871-6550 | |
Gina A Martel, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Paige St, Lowell, MA 01852 Phone: 978-452-0371 |