| Lissette Soto, LCSW, LICSW | |
|
44 Reservoir St, Northborough, MA 01532-1215 | |
| (203) 252-6813 | |
| Not Available |
| Full Name | Lissette Soto |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 44 Reservoir St, Northborough, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346610698 | NPI | - | NPPES |
| 004236148 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 8267 (Connecticut) | 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 |
|---|---|
| Lissette Soto, LCSW, LICSW 44 Reservoir St, Northborough, MA 01532-1215 Ph: (203) 252-6813 | Lissette Soto, LCSW, LICSW 44 Reservoir St, Northborough, MA 01532-1215 Ph: (203) 252-6813 |
Mrs. Lindsay Brady, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 295 Crawford St., Northborough, MA 01532 Phone: 508-887-6424 Fax: 508-861-7685 | |
Christine Gough Gagne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 33 Sunset Dr, Northborough, MA 01532 Phone: 508-393-2862 | |
Jennifer Puccio, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 382 W Main St Ste 203, Northborough, MA 01532 Phone: 508-202-1063 | |
Sarah Hamelin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 Main Street, Bldg 2, Suite F, Suite 113, Northborough, MA 01532 Phone: 508-393-2731 | |
Sarah White, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Elmwood Dr, Northborough, MA 01532 Phone: 860-810-5869 | |
Brenda Homefield-rosenzweig, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 W Main St, Northborough, MA 01532 Phone: 508-868-6654 Fax: 508-877-7296 | |
Anna Munro, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 130 Main St Ste 2d, Northborough, MA 01532 Phone: 508-709-7221 |