| Ms Maggie Marie Smith, | |
|
280 Beach St, Revere, MA 02151-3143 | |
| (781) 289-5057 | |
| Not Available |
| Full Name | Ms Maggie Marie Smith |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 280 Beach St, Revere, 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 |
|---|---|---|---|
| 1982266995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11694 (Connecticut) | Primary |
| 1041C0700X | Social Worker - Clinical | LICSW1140324 (Massachusetts) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Behavioral Health And Wellness Solutions Of Ct Llc | 5395020945 | 10 |
| Entity Name | Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412 |
| Entity Name | Behavioral Health And Wellness Solutions Of Ct Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114479888 PECOS PAC ID: 5395020945 Enrollment ID: O20170321002521 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Maggie Marie Smith, 1 Cellini Pl, West Haven, CT 06516-1666 Ph: (203) 932-6481 | Ms Maggie Marie Smith, 280 Beach St, Revere, MA 02151-3143 Ph: (781) 289-5057 |
Karen Suttle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Everard Ave, Revere, MA 02151 Phone: 781-485-2715 | |
Olivia Ferrante, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Garofola St, Revere, MA 02151 Phone: 617-568-6333 | |
Lauren Nicole Shultz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 382 Ocean Ave Apt 603, Revere, MA 02151 Phone: 973-270-4557 | |
Matthew E Peiken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 265 Beach St, 3rd Floor, Revere, MA 02151 Phone: 617-968-5072 Fax: 617-968-5072 | |
Lucia H. Milla-deangelo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Everard Ave, Revere, MA 02151 Phone: 781-485-2715 | |
Mrs. Michelle Perez Vichot, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 265 Beach St, Revere, MA 02151 Phone: 617-912-7704 Fax: 781-286-5636 | |
Eglantina Malaj, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 60 Roosevelt St, Revere, MA 02151 Phone: 781-600-1996 |