| Mrs Ann Bergan Fitzgerald, LICSW | |
|
10 Cabot Rd Fl 1, Medford, MA 02155-5177 | |
| (781) 393-5152 | |
| (781) 393-5168 |
| Full Name | Mrs Ann Bergan Fitzgerald |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 28 Years |
| Location | 10 Cabot Rd Fl 1, Medford, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538222716 | NPI | - | NPPES |
| 1538222716 | Other | MA | UBH |
| 1518164508 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| 12515715 | Other | MA | MULTI-PLAN |
| 1518164508 | Other | MA | MEDICARE |
| 1518164508 | Other | MA | MBHP |
| 1518164508 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 486325 | Other | MA | VALUE OPTIONS |
| 9186232 | Other | MA | PHCS |
| 987309-02 | Other | MA | NETWORK HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110624 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North End Community Health Committee, Inc. | 8224043971 | 49 |
| Entity Name | Eliot Community Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679648182 PECOS PAC ID: 2062488000 Enrollment ID: O20040909001199 |
| Entity Name | North End Community Health Committee, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780606608 PECOS PAC ID: 8224043971 Enrollment ID: O20060216000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ann Bergan Fitzgerald, LICSW 173 Chelsea St, Everett, MA 02149 Ph: (781) 861-0890 | Mrs Ann Bergan Fitzgerald, LICSW 10 Cabot Rd Fl 1, Medford, MA 02155-5177 Ph: (781) 393-5152 |
Charlotte Jamar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Grove St, Medford, MA 02155 Phone: 781-648-6053 | |
Deborah Herzog, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 High St Ste 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564 | |
Mr. Howard David Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 Park St - Apt. 2, Medford, MA 02155 Phone: 781-395-7374 | |
Mrs. Kerri Anne Dewolf, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-306-6157 Fax: 781-306-6146 | |
Alexandra Jane Kennedy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Washington St, Medford, MA 02155 Phone: 413-464-3067 | |
Mr. William Frank Scalise, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 High St, Suite 2a, Medford, MA 02155 Phone: 781-393-0009 Fax: 781-395-2909 | |
Ms. Kerry Lynn Desista, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Rd, Suite 209, Medford, MA 02155 Phone: 781-395-0351 |