Brendan Michael Mccarthy, | |
Po Box 767, West Warwick, RI 02893-0610 | |
(508) 386-2094 | |
Not Available |
Full Name | Brendan Michael Mccarthy |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | Po Box 767, West Warwick, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841015880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW03948 (Rhode Island) | Primary |
104100000X | Social Worker | 119058-01 (New York) | Secondary |
Entity Name | Evergreen Wellness Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467063875 PECOS PAC ID: 1153732383 Enrollment ID: O20210119002754 |
Mailing Address | Practice Location Address |
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Brendan Michael Mccarthy, 118 Heath St, Newark, NY 14513-1927 Ph: (585) 719-5439 | Brendan Michael Mccarthy, Po Box 767, West Warwick, RI 02893-0610 Ph: (508) 386-2094 |
Miss Latonya C Pete, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 498 Providence St, West Warwick, RI 02893 Phone: 401-996-2141 | |
Jennifer Elizabeth Lewis, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 215 Washington St, West Warwick, RI 02893 Phone: 401-822-1360 | |
Sage Mueller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800 | |
Jenna Danielle Monteiro, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800 | |
Laura M Linback, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800 | |
Colleen Mckenna, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800 | |
Susan Kelly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 186 Providence St, West Warwick, RI 02893 Phone: 401-615-2800 |