Benjamin Johnson, | |
101 Cambridge St Ste 230, Burlington, MA 01803-3767 | |
(781) 221-3180 | |
Not Available |
Full Name | Benjamin Johnson |
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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 |
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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 | |
Jonathan Metcalf, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8013 Fax: 781-744-5235 |