Ali Wantimba, is a
Counselor - Mental Health based in Roxbury, Massachusetts. Ali Wantimba is licensed to practice in * (Not Available) (license number ) and his current practice location is
520 Dudley St, Roxbury, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(781) 885-4264.
NPI number for Ali Wantimba is 1053102434 and his current mailing address is 504 Dudley St, Roxbury, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053102434.
Healthcare Provider's Profile
Full Name | Ali Wantimba |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 520 Dudley St, Roxbury, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053102434
- Provider Enumeration Date: 05/14/2025
- Last Update Date: 05/14/2025
Medical Identifiers
Medical identifiers for Ali Wantimba such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053102434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ali Wantimba is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ali Wantimba, 504 Dudley St, Roxbury, MA 02119-2732 Ph: () - | Ali Wantimba, 520 Dudley St, Roxbury, MA 02119-2769 Ph: (781) 885-4264 |
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