| Mr George Luis Soto, LICSW, PSYD | |
| 305 Newbury St, Suite 42, Boston, MA 02115-2833 | |
| (617) 209-9869 | |
| Not Available | 
| Full Name | Mr George Luis Soto | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 305 Newbury St, Boston, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225182587 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114564 (Massachusetts) | Primary | 
| Entity Name | President & Fellows Of Harvard College | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1952366312 PECOS PAC ID: 2062303894 Enrollment ID: O20040322001750 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr George Luis Soto, LICSW, PSYD 305 Newbury St, Suite 42, Boston, MA 02115-2833 Ph: (617) 209-9869 | Mr George Luis Soto, LICSW, PSYD 305 Newbury St, Suite 42, Boston, MA 02115-2833 Ph: (617) 209-9869 | 
| Julie Ann Hansen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 857-218-4309 | |
| Ms. Bridget Kiely Chiaruttini, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 W Springfield St Apt 3, Boston, MA 02118 Phone: 617-852-2830 | |
| Mrs. Mary Ray Mazaka, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1153 Centre St, 2nd Floor, Boston, MA 02130 Phone: 617-983-7233 Fax: 617-983-7231 | |
| Mr. Timothy Roy, BA, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 American Legion Hwy, Preschool Outreach Program, Boston, MA 02131 Phone: 617-469-8500 | |
| Ms. Soyun Kwan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Children's Hospital Boston, Boston, MA 02115 Phone: 617-355-0567 Fax: 617-730-0208 | |
| Mr. Bradley Oliver Levy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1353 Dorchester Ave, Boston, MA 02122 Phone: 617-288-3230 Fax: 617-282-0954 | |
| Sarah Bayer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 |