| Mary Therese Ibrahim, LICSW | |
|
250 N Main St, Natick, MA 01760-1108 | |
| (339) 237-1077 | |
| Not Available |
| Full Name | Mary Therese Ibrahim |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 5 Years |
| Location | 250 N Main St, Natick, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427754779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW1141362 (Massachusetts) | Primary |
| 1041C0700X | Social Worker - Clinical | 228916 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boston Neurobehavioral Associates, Llc | 9436142429 | 161 |
| 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 |
|---|---|
| Mary Therese Ibrahim, LICSW 250 N Main St, Natick, MA 01760-1108 Ph: (339) 237-1077 | Mary Therese Ibrahim, LICSW 250 N Main St, Natick, MA 01760-1108 Ph: (339) 237-1077 |
Laura Dunne, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Highland St, Natick, MA 01760 Phone: 508-655-6406 | |
Patricia Ann Huminski, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19 Hammond Rd, Natick, MA 01760 Phone: 508-315-2103 | |
Mollyrose Arp-sandel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 251 W Central St, Natick Crossing, Suite 22, Natick, MA 01760 Phone: 508-655-5222 | |
Amy Fish Siegel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Appletree Ln, Natick, MA 01760 Phone: 617-584-0323 | |
Kimberly T Tsitsirigos, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 251 W Central St, Suite 25, Natick, MA 01760 Phone: 508-653-4820 Fax: 508-653-4827 | |
Carol Kantor Carroll, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Oakland Ter, Natick, MA 01760 Phone: 085-545-0802 | |
Lauren Cramer Finnerty, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 154 E Central St Ste 201a, Natick, MA 01760 Phone: 508-647-1644 |