| Jose Nieves, LCSW | |
|
97 Central St, Suite 207, Lowell, MA 01852-1917 | |
| (978) 735-3529 | |
| (978) 452-0054 |
| Full Name | Jose Nieves |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 97 Central St, Lowell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669609319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 218474 (Massachusetts) | Primary |
| Entity Name | Boston Neurobehavioral Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558415307 PECOS PAC ID: 9436142429 Enrollment ID: O20120926000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Nieves, LCSW 97 Central St, Suite 207, Lowell, MA 01852-1917 Ph: (978) 735-3529 | Jose Nieves, LCSW 97 Central St, Suite 207, Lowell, MA 01852-1917 Ph: (978) 735-3529 |
Dorothea Anne Wolf, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Lowell, MA 01852 Phone: 978-453-8331 Fax: 978-453-9254 | |
Victoria Reiszner, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 319 Wilder St, Lowell, MA 01851 Phone: 978-452-4522 | |
Ms. Erin Maureen Hurley, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Newhall Street #204, Lowell, MA 01852 Phone: 781-249-0996 | |
Miss Monica Lynn Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 97 Central St Ste 207, Lowell, MA 01852 Phone: 603-341-8875 | |
Kyle Matthew Correa, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Old Canal Dr, Lowell, MA 01851 Phone: 978-453-6800 | |
Vuth Pich, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Bridge St, The Simpson Block, Lowell, MA 01852 Phone: 781-871-6550 | |
Gina A Martel, LCSW, SAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 40 Paige St, Lowell, MA 01852 Phone: 978-452-0371 |