| Jessica Lois Sims, | |
|
231 Main St, Brockton, MA 02301-4342 | |
| (508) 586-2660 | |
| Not Available |
| Full Name | Jessica Lois Sims |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 231 Main St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497402788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW128356 (Massachusetts) | Primary |
| 1041C0700X | Social Worker - Clinical | 227525 (Massachusetts) | Secondary |
| Entity Name | Northeast Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lois Sims, 25 Redman Rd, Canton, MA 02021-1625 Ph: (617) 909-1786 | Jessica Lois Sims, 231 Main St, Brockton, MA 02301-4342 Ph: (508) 586-2660 |
Mrs. Trinette Stephenson Hall, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Belcher Ave, Brockton, MA 02301 Phone: 781-774-0273 | |
Jennifer Lynn Sharkansky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977 | |
Maryellen Mcgrath-howie, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8325 | |
Laura Ann Uribe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 Main St Fl 3, Brockton, MA 02301 Phone: 508-586-2660 | |
Mark Jacob Longsjo, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8320 Fax: 508-894-8334 | |
Ruth Zakarin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Belmont St, Brockton, MA 02301 Phone: 508-583-6498 | |
Felipe Durand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2100 Fax: 508-897-2135 |