| Desiree N Millett, LICSW | |
|
10 Gove St, East Boston, MA 02128-1920 | |
| (617) 569-5800 | |
| (617) 568-4756 |
| Full Name | Desiree N Millett |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10 Gove St, East 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 |
|---|---|---|---|
| 1215292800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 118678 (Massachusetts) | Primary |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree N Millett, LICSW 170 Morton St, Boston, MA 02130-3735 Ph: (617) 971-3203 | Desiree N Millett, LICSW 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Kit Lussier Rainboth, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 96 Webster St Unit G, East Boston, MA 02128 Phone: 857-218-9617 | |
Mrs. Lori Ann Mackay, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 530 Border St, East Boston, MA 02128 Phone: 617-569-6560 | |
Arilene I. Hernandez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
John Joseph Manganaro, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-912-7587 | |
Franchette Haimeur, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
Nanci Siegel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-523-1529 | |
Danielle Gallagher, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 665 Bennington St Apt 2, East Boston, MA 02128 Phone: 203-906-4203 |