| Christine N Trendell, LICSW | |
|
300 Longwood Ave, Boston, MA 02115-5724 | |
| (617) 355-6000 | |
| Not Available |
| Full Name | Christine N Trendell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 300 Longwood Ave, Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528195914 | NPI | - | NPPES |
| CM32298 | Medicaid | RI | |
| 30886-3 | Other | BLUE CROSS | |
| 407887 | Other | BLUE CHIP | |
| 62-37377 | Other | UNITED BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW01339 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | LICSW121349 (Massachusetts) | Primary |
| Entity Name | Emma Pendleton Bradley Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578768867 PECOS PAC ID: 3870527526 Enrollment ID: O20050921001082 |
| Entity Name | The Miriam Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1164716031 PECOS PAC ID: 6901796408 Enrollment ID: O20110928000027 |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine N Trendell, LICSW 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Christine N Trendell, LICSW 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 |
Julie Ann Hansen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 857-218-4309 | |
Ms. Bridget Kiely Chiaruttini, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 W Springfield St Apt 3, Boston, MA 02118 Phone: 617-852-2830 | |
Mrs. Mary Ray Mazaka, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1153 Centre St, 2nd Floor, Boston, MA 02130 Phone: 617-983-7233 Fax: 617-983-7231 | |
Mr. Timothy Roy, BA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 American Legion Hwy, Preschool Outreach Program, Boston, MA 02131 Phone: 617-469-8500 | |
Ms. Soyun Kwan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Children's Hospital Boston, Boston, MA 02115 Phone: 617-355-0567 Fax: 617-730-0208 | |
Mr. Bradley Oliver Levy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1353 Dorchester Ave, Boston, MA 02122 Phone: 617-288-3230 Fax: 617-282-0954 | |
Sarah Bayer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 |