| Laurel E Kenworthy, LICSW | |
|
330 Mount Auburn St, Clark 1, Cambridge, MA 02138-5502 | |
| (617) 499-5054 | |
| (617) 499-5465 |
| Full Name | Laurel E Kenworthy |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 330 Mount Auburn St, Cambridge, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770922049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 116610 (Massachusetts) | Primary |
| Entity Name | Northeast Medical Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel E Kenworthy, LICSW 330 Mount Auburn St, Clark 1, Cambridge, MA 02138-5502 Ph: (617) 499-5054 | Laurel E Kenworthy, LICSW 330 Mount Auburn St, Clark 1, Cambridge, MA 02138-5502 Ph: (617) 499-5054 |
Jacob Dylan Wolfe, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St, Cambridge, MA 02139 Phone: 617-665-1646 | |
Julia Finley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 810 Memorial Dr Ste 2, Cambridge, MA 02139 Phone: 617-520-8817 | |
Robin Ann Kaplan, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 930 Massachusetts Ave, Cambridge, MA 02139 Phone: 617-497-5783 | |
Robin J. Alt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 875 Massachusetts Ave, Suite 41, Cambridge, MA 02139 Phone: 617-547-6168 | |
Ms. Judith L Silvan, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Hancock St, Suite 101, Cambridge, MA 02139 Phone: 617-576-3095 | |
Ms. Sara Sethany Wells, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1955 Massachusetts Ave, Cambridge, MA 02140 Phone: 617-909-1232 | |
Mrs. Kyra L Montagu, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1105 Massachusetts Ave, Suite 2d, Cambridge, MA 02138 Phone: 617-277-9814 Fax: 617-277-9814 |