| Ms Paulina Marie Heywood, MSW/LICSW | |
|
55 Dimock St, Roxbury, MA 02119-1029 | |
| (617) 442-8800 | |
| (617) 541-8622 |
| Full Name | Ms Paulina Marie Heywood |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 38 Years |
| Location | 55 Dimock St, Roxbury, 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 |
|---|---|---|---|
| 1609950336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1017966 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminosity Behavioral Health | 7618137977 | 3 |
| Entity Name | Luminosity Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265728521 PECOS PAC ID: 7618137977 Enrollment ID: O20120322000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Paulina Marie Heywood, MSW/LICSW 55 Dimock St, Roxbury, MA 02119-1029 Ph: (617) 442-8800 | Ms Paulina Marie Heywood, MSW/LICSW 55 Dimock St, Roxbury, MA 02119-1029 Ph: (617) 442-8800 |
Larry Higginbottom, MSW / LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 184 Dudley St, Suite 107 Ll, Roxbury, MA 02119 Phone: 617-442-2002 Fax: 617-442-4002 | |
Ms. Nia-sue Mitchum, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3 Aspen St, Roxbury, MA 02119 Phone: 617-427-3312 | |
Ms. Ebonee Troup, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-690-9701 | |
Ivelisse Vazquez, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Dimock St, Room 266a, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472 | |
Catherine Egan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Behavioral Health, Roxbury, MA 02120 Phone: 617-989-3362 Fax: 617-989-3227 | |
Ali Wantimba, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 781-885-4264 | |
Mrs. Misgana Tsgaye Sirmollo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-445-6655 |