Caleb Brooks, | |
75 Parkview St Apt 207, Weymouth, MA 02190-3932 | |
(901) 264-3704 | |
Not Available |
Full Name | Caleb Brooks |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 75 Parkview St Apt 207, Weymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851927511 | NPI | - | NPPES |
12159 | Other | TN | COMMERCIAL INSURANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12159 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | 126946 (Massachusetts) | Primary |
Entity Name | Keystone Healthcare Systems Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992417018 PECOS PAC ID: 8022550078 Enrollment ID: O20240606000944 |
Mailing Address | Practice Location Address |
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Caleb Brooks, 75 Parkview St Apt 207, Weymouth, MA 02190-3932 Ph: (617) 468-6426 | Caleb Brooks, 75 Parkview St Apt 207, Weymouth, MA 02190-3932 Ph: (901) 264-3704 |
Maria Catherine Sullivan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Squanto Rd, Weymouth, MA 02191 Phone: 508-813-8717 | |
Melissa Mcpherson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, Weymouth, MA 02190 Phone: 781-624-3021 | |
Brenda Ann Kelly, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 541 Main St, Suite 216 Stetson Building, Weymouth, MA 02190 Phone: 781-982-1443 | |
Virginia Marie Disanto, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Wildcat Way, Weymouth, MA 02190 Phone: 781-337-7500 | |
Kerrianne Rose Karlberg Fraser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 770 Middle St, Weymouth, MA 02188 Phone: 781-335-7589 | |
Christina Jo Minich, LCSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1051 Commercial St, Weymouth, MA 02189 Phone: 781-337-4500 | |
Maria D Rizzo Depaoli, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Randall Ave, Weymouth, MA 02189 Phone: 781-985-1562 |