| Patricia Gardner-goodof, LICSW | |
|
1 Pleasant Ln, Marblehead, MA 01945-2341 | |
| (781) 631-2666 | |
| Not Available |
| Full Name | Patricia Gardner-goodof |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 1 Pleasant Ln, Marblehead, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558381517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1022482 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore Medical Center, Inc. | 3274427570 | 40 |
| Entity Name | North Shore Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730121633 PECOS PAC ID: 3274427570 Enrollment ID: O20040405001019 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Gardner-goodof, LICSW 95 Clifton Ave, Marblehead, MA 01945-1717 Ph: (781) 639-1193 | Patricia Gardner-goodof, LICSW 1 Pleasant Ln, Marblehead, MA 01945-2341 Ph: (781) 631-2666 |
Mr. Michael Dubinsky, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Hillcrest Rd, Marblehead, MA 01945 Phone: 781-631-8609 | |
Rachel Emily Schultze, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 Atlantic Ave, Marblehead, MA 01945 Phone: 781-307-0098 | |
Jennifer Shore, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Intervale Rd, Marblehead, MA 01945 Phone: 781-710-3746 | |
Mrs. Marie C Ouellette, MSW LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 66 Clifton Avenue, Marblehead, MA 01945 Phone: 781-631-8273 Fax: 781-631-7264 | |
Mr. Philip H West, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 66 Clifton Ave, Marblehead, MA 01945 Phone: 781-631-8273 | |
Ms. Teresa Toto, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Franklin St, Marblehead, MA 01945 Phone: 781-990-3097 | |
Nicole Rose Distefano, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Hines Ct Unit 19, Marblehead, MA 01945 Phone: 781-307-7845 |