| Mrs Christine Randle, LICSW | |
|
615 Leominster Rd, Lunenburg, MA 01462-2013 | |
| (978) 582-7103 | |
| (978) 582-6264 |
| Full Name | Mrs Christine Randle |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 615 Leominster Rd, Lunenburg, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588765473 | NPI | - | NPPES |
| 1035290 | Other | MA | FALLON |
| MAGELLAN | Other | MA | 411712 |
| 05420331 | Other | MA | UBH |
| P08211 | Other | MA | BCBS |
| 11602293 | Other | CAQH | |
| 1852892 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 111274 (Massachusetts) | Primary |
| Entity Name | Flying High Farm Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598954539 PECOS PAC ID: 4880978865 Enrollment ID: O20170313000962 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Christine Randle, LICSW 615 Leominster Rd, Lunenburg, MA 01462-2013 Ph: (978) 582-7103 | Mrs Christine Randle, LICSW 615 Leominster Rd, Lunenburg, MA 01462-2013 Ph: (978) 582-7103 |
Ms. Brooke Marie Chamberland, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Mass Ave Ste 1, Lunenburg, MA 01462 Phone: 978-835-3780 Fax: 978-319-4162 | |
Lyn Bohan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 603 Massachusetts Ave, Lunenburg, MA 01462 Phone: 978-582-0208 | |
Mrs. Christen Day Drouin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Massachusetts Ave Ste 1, Lunenburg, MA 01462 Phone: 978-621-7538 | |
Kelly E Pelletier, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 105 Robbs Hill Rd, Lunenburg, MA 01462 Phone: 978-400-6305 | |
Rosilver Salcedo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Leominster Rd, Lunenburg, MA 01462 Phone: 978-582-7103 | |
Miss Sarah Marie Charest Dubovsky, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 615 Leominster Rd, Lunenburg, MA 01462 Phone: 774-218-8721 |