Ms Jennifer Elizabeth Gibbons, LICSW | |
7000 Great Meadow Rd Fl 2, Dedham, MA 02026-4090 | |
(781) 234-9671 | |
(781) 234-9644 |
Full Name | Ms Jennifer Elizabeth Gibbons |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7000 Great Meadow Rd Fl 2, Dedham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376015883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 119318 (Massachusetts) | Primary |
Entity Name | Supportive Behavioral Care Of Ma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Elizabeth Gibbons, LICSW 7000 Great Meadow Rd Fl 2, Dedham, MA 02026-4090 Ph: (781) 234-9671 | Ms Jennifer Elizabeth Gibbons, LICSW 7000 Great Meadow Rd Fl 2, Dedham, MA 02026-4090 Ph: (781) 234-9671 |
Ellen Mary Snead, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 39 Fuller St, Dedham, MA 02026 Phone: 781-223-8982 | |
Rhiannon Leigh, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 Eastbrook Rd, Dedham, MA 02026 Phone: 781-302-4600 | |
Donald Hughes, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 270 Bridge Street, Suite 301, Dedham, MA 02026 Phone: 781-320-5321 | |
Madisen Welz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Pearl St, Dedham, MA 02026 Phone: 315-210-2105 | |
Shamiah Tasker-cheeks, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Eastbrook Rd, Dedham, MA 02026 Phone: 857-293-5020 | |
Tyson W Andree, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Eastbrook Rd, Dedham, MA 02026 Phone: 857-200-9813 | |
Katelyn Symonds, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 456 Providence Hwy, Dedham, MA 02026 Phone: 781-234-4936 |