| Candice Syriac, LICSW | |
| 
					29 Pine St, Southbridge, MA 01550-1823  | |
| (508) 765-2202 | |
| (508) 764-3128 | 
| Full Name | Candice Syriac | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 29 Pine St, Southbridge, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851737530 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 120543 (Massachusetts) | Primary | 
| Entity Name | Umass Memorial Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267  | 
| Entity Name | Umass Memorial Health-harrington Hospital Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790780047 PECOS PAC ID: 8123087319 Enrollment ID: O20041004001081  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Candice Syriac, LICSW 29 Pine St, Southbridge, MA 01550-1823 Ph: (508) 765-2202  | Candice Syriac, LICSW 29 Pine St, Southbridge, MA 01550-1823 Ph: (508) 765-2202  | 
Mrs. Jennifer Colello Reed, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 Charlton St, Southbridge, MA 01550 Phone: 508-849-5649  | |
Mrs. Laurel Boland, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 139 South St, Southbridge, MA 01550 Phone: 508-909-7799  | |
Mr. Paul J Carey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 328 Main St, Southbridge, MA 01550 Phone: 508-765-9101 Fax: 508-764-4389  | |
Tatiana Towle,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9167  | |
Mr. Craig J Ungerman,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Optical Dr, Southbridge, MA 01550 Phone: 508-519-3590 Fax: 508-849-3882  | |
Sandra Anne Fallon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Pine St, Southbridge, MA 01550 Phone: 508-765-9761  | |
Mrs. Kathleen C Hardwick, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 South Street, Southbridge, MA 01550 Phone: 508-765-9771  |