Susan Tognazzi, | |
100 Cummings Ctr Ste 307e, Beverly, MA 01915-6107 | |
(978) 922-2280 | |
Not Available |
Full Name | Susan Tognazzi |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 100 Cummings Ctr Ste 307e, Beverly, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609500453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LICSW1120794 (Massachusetts) | Primary |
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
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Susan Tognazzi, 15 Oakland St Apt 3, Salem, MA 01970-1583 Ph: (978) 810-1409 | Susan Tognazzi, 100 Cummings Ctr Ste 307e, Beverly, MA 01915-6107 Ph: (978) 922-2280 |
Miss Hannah Dawn Angel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 Fax: 978-927-3724 | |
Christine Caldarelli, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 Fax: 978-927-3724 | |
Mrs. Barrie L Gillman, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 Cabot St Ste 260r, Beverly, MA 01915 Phone: 617-549-6280 Fax: 781-202-9244 | |
Michael Robinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 364u, Beverly, MA 01915 Phone: 978-998-3680 Fax: 978-922-0098 | |
Jamaica True Kelley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 | |
Diana Giglio, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr Ste 266t, Beverly, MA 01915 Phone: 978-921-1190 | |
Mrs. Kristena Marijean O'hara, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 Fax: 978-927-3724 |