| Benjamin Johnson, | |
|
101 Cambridge St Ste 230, Burlington, MA 01803-3767 | |
| (781) 221-3180 | |
| Not Available |
| Full Name | Benjamin Johnson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 101 Cambridge St Ste 230, Burlington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790324234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 126262 (Massachusetts) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Johnson, 1000 Lexington St Apt 15, Waltham, MA 02452-7209 Ph: (312) 675-9481 | Benjamin Johnson, 101 Cambridge St Ste 230, Burlington, MA 01803-3767 Ph: (781) 221-3180 |
Carolina Ivonne Feris, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 67 S Bedford St, Burlington, MA 01803 Phone: 781-744-7000 | |
Deborah Smulian-siegel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Beacon St Apt 3e, Burlington, MA 01803 Phone: 646-546-2285 | |
Kathryn Yildizyan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 Burlington Mall Rd, Burlington, MA 01805 Phone: 781-744-5100 | |
Kelly Wildes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Cambridge St Ste 230, Burlington, MA 01803 Phone: 978-222-3121 | |
Mark Clukey, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Laura Beal, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-5784 | |
Enrique Cruz, LCSW,LICSW, PMHNP,RN Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 |