| Kathleen Dunford Cicchese, LICSW | |
|
Home Base, One Constitution Wharf, Suite 140, Charlestown, MA 02129-0212 | |
| (617) 724-7329 | |
| Not Available |
| Full Name | Kathleen Dunford Cicchese |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | Home Base, Charlestown, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649747171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 223841 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Dunford Cicchese, LICSW 1 Constitution Plz Ste 140, Charlestown, MA 02129-2025 Ph: (578) 408-4531 | Kathleen Dunford Cicchese, LICSW Home Base, One Constitution Wharf, Suite 140, Charlestown, MA 02129-0212 Ph: (617) 724-7329 |
Joseph Vafis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 High St, Charlestown, MA 02129 Phone: 617-724-8135 | |
Breanne Muchemore, LICSW, CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 1st Ave, Charlestown, MA 02129 Phone: 617-952-5341 | |
Karen Potter, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 1st Ave, Charlestown, MA 02129 Phone: 617-952-5443 | |
Chelsea Atzinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 High St, Charlestown, MA 02129 Phone: 617-724-8135 | |
Robin Olivia Bleicher, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 High St, Charlestown, MA 02129 Phone: 413-335-0307 | |
Leslie Parker Strachan, LICSW, LADC I Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 127 Main St, Charlestown, MA 02129 Phone: 617-733-5924 | |
Deborah Wanzer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 High St, Charlestown, MA 02129 Phone: 617-724-8231 |