| Mrs Stacey Jenee Rutherford, LICSW | |
|
435 Shrewsbury St, Worcester, MA 01604-1638 | |
| (508) 577-2017 | |
| (508) 752-7245 |
| Full Name | Mrs Stacey Jenee Rutherford |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 29 Years |
| Location | 435 Shrewsbury St, Worcester, 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 |
|---|---|---|---|
| 1528168135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110648 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grace Aging Services Llc | 3173806916 | 2 |
| Behavioral Healthcare Services | 3779818828 | 26 |
| Entity Name | Henry Heywood Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
| Entity Name | Heywood Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699762286 PECOS PAC ID: 6901882836 Enrollment ID: O20040629001351 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Entity Name | Grace Aging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528504495 PECOS PAC ID: 3173806916 Enrollment ID: O20170201002797 |
| Entity Name | Behavioral Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346397437 PECOS PAC ID: 3779818828 Enrollment ID: O20190711000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacey Jenee Rutherford, LICSW 198 Russell St, Worcester, MA 01609-2200 Ph: (508) 438-0110 | Mrs Stacey Jenee Rutherford, LICSW 435 Shrewsbury St, Worcester, MA 01604-1638 Ph: (508) 577-2017 |
Kristi Dawn Vargas, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1295 | |
Leticia Adriana Flores, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1369 Grafton St, Worcester, MA 01604 Phone: 857-341-4633 | |
Jennifer Louise Marquez, MSW, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 Grove St Ste Ll11, Worcester, MA 01605 Phone: 508-304-7499 Fax: 774-420-7255 | |
Ms. Laurie J Drazek, LCSW, M. ED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 Highland Street, Worcester, MA 01602 Phone: 508-860-1172 | |
Ms. Tuyet Tran, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-981-9797 | |
Kristine E Lotoski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Suite 383, Worcester, MA 01608 Phone: 508-791-4976 Fax: 508-791-6723 | |
Ms. Julia Joachim Shaw, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 617-817-2033 |