| Mr Alfonso Mack Henderson, | |
|
199 Wells Ave, Newton, MA 02459-3325 | |
| (774) 766-8780 | |
| Not Available |
| Full Name | Mr Alfonso Mack Henderson |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 199 Wells Ave, Newton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396396305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 128637 (Massachusetts) | Primary |
| Entity Name | Northeast Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Entity Name | Learnwell Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265134001 PECOS PAC ID: 7416397161 Enrollment ID: O20240429003436 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alfonso Mack Henderson, 1612 Worcester Rd Apt 618a, Framingham, MA 01702-5480 Ph: (309) 660-0134 | Mr Alfonso Mack Henderson, 199 Wells Ave, Newton, MA 02459-3325 Ph: (774) 766-8780 |
Maureen Lavelle, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2014 Washington St, Newton, MA 02462 Phone: 617-243-6664 Fax: 617-243-6992 | |
Mrs. Enid Angelina Levangie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 288 Walnut St, Newton, MA 02460 Phone: 617-935-2569 | |
Peter Goldring, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 38 Colonial Ave, Newton, MA 02460 Phone: 800-286-4165 | |
Ms. Marushka Glissen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17 Rosalie Rd, Newton, MA 02459 Phone: 617-852-5823 | |
Ms. Judith Strull, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 61 Ellison Rd, Newton, MA 02459 Phone: 617-965-1247 Fax: 617-332-8472 | |
Lauren Manasse-latham, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3 Thornton St, Newton, MA 02458 Phone: 617-894-0024 | |
Ms. Andrea Werner Insoft, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1193 Walnut St, Suite 6, Newton, MA 02461 Phone: 617-694-6846 |