| Shiva Kuczinski, | |
|
17 Greenville St, Roxbury, MA 02119-2315 | |
| (617) 783-8035 | |
| Not Available |
| Full Name | Shiva Kuczinski |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 17 Greenville St, Roxbury, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518336338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S59770214 (Massachusetts) | Primary |
| Entity Name | High Point Treatment Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518996354 PECOS PAC ID: 3779578174 Enrollment ID: O20040415001222 |
| Entity Name | Lumin Health Pg |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538819909 PECOS PAC ID: 3678950649 Enrollment ID: O20220512000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Shiva Kuczinski, 17 Greenville St, Roxbury, MA 02119-2315 Ph: (617) 783-8035 | Shiva Kuczinski, 17 Greenville St, Roxbury, MA 02119-2315 Ph: (617) 783-8035 |
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: Accepting Medicare Assignments 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 |