Mrs Kaileen Russell, LCSW | |
246 Park St, West Springfield, MA 01089-3314 | |
(413) 737-4718 | |
Not Available |
Full Name | Mrs Kaileen Russell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 246 Park St, West Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073860847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Center For Human Development, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912099219 PECOS PAC ID: 7618950874 Enrollment ID: O20041129000514 |
Mailing Address | Practice Location Address |
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Mrs Kaileen Russell, LCSW 246 Park St, West Springfield, MA 01089-3314 Ph: (413) 737-4718 | Mrs Kaileen Russell, LCSW 246 Park St, West Springfield, MA 01089-3314 Ph: (413) 737-4718 |
Stephanie Hudon, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 103 Myron St, Suite 2, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Hayley Pepin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1319 Riverdale St, West Springfield, MA 01089 Phone: 469-684-4410 | |
Joyce Wise, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1132 Westfield St, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0096 | |
Karina Velazquez, MSW INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Myron St Ste A, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Leslie Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Myron St, Suite A, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Linda M. Murphy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Myron St, Suite A, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Brittany Rodriguez, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 103 Myron St Ste A, West Springfield, MA 01089 Phone: 413-592-4198 Fax: 413-439-0100 |