| Samuel Kellogg, LCSW | |
|
25 Wellman Ave, North Chelmsford, MA 01863-1334 | |
| (978) 251-4050 | |
| Not Available |
| Full Name | Samuel Kellogg |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 25 Wellman Ave, North Chelmsford, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477028363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 093682 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valera Medical Pc | 0547690521 | 164 |
| Entity Name | Valera Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437782349 PECOS PAC ID: 0547690521 Enrollment ID: O20200414003279 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Kellogg, LCSW 200 Swanton St Apt 320, Winchester, MA 01890-4316 Ph: () - | Samuel Kellogg, LCSW 25 Wellman Ave, North Chelmsford, MA 01863-1334 Ph: (978) 251-4050 |
Mr. Samuel D Alemayheu, MA Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 73 Princeton St Ste 307, North Chelmsford, MA 01863 Phone: 978-677-7823 | |
Lucy A Grosvenor, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 73 Princeton St, Suite203, North Chelmsford, MA 01863 Phone: 978-256-6579 Fax: 978-256-1943 | |
Ms. Joanne Tarantino, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Wellman Ave, North Chelmsford, MA 01863 Phone: 978-514-4999 | |
John W Thompson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 73 Princeton St, Suite 203, North Chelmsford, MA 01863 Phone: 978-256-6579 Fax: 978-256-1943 | |
Justine Hersey May, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 48 Kennedy Dr, North Chelmsford, MA 01863 Phone: 978-501-0026 | |
Kathleen Ann Lisciotto, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Doral Dr, North Chelmsford, MA 01863 Phone: 708-932-0831 | |
Stacey Clermont, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 7th Ave, North Chelmsford, MA 01863 Phone: 978-884-4049 |