| Diana Phillips, LICSW | |
| 115 Warren St, Boston, MA 02119-3206 | |
| (617) 833-2357 | |
| Not Available | 
| Full Name | Diana Phillips | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 115 Warren St, 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 | 
|---|---|---|---|
| 1245714229 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 118069 (Massachusetts) | Primary | 
| Entity Name | Talkspace Provider Network Pa | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240909000065 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Diana Phillips, LICSW 115 Warren St, Boston, MA 02119-3206 Ph: (617) 833-2357 | Diana Phillips, LICSW 115 Warren St, Boston, MA 02119-3206 Ph: (617) 833-2357 | 
| 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 |