| Tara Burgess, | |
|
357 Nashawtuc Rd, Concord, MA 01742-1616 | |
| (339) 201-1765 | |
| Not Available |
| Full Name | Tara Burgess |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 357 Nashawtuc Rd, Concord, 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 |
|---|---|---|---|
| 1487263281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LICSW127310 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youth Opportunities Upheld Inc | 9638190374 | 18 |
| Entity Name | Youth Opportunities Upheld Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Burgess, 60 Crescent Rd, Concord, MA 01742-2208 Ph: (339) 201-1765 | Tara Burgess, 357 Nashawtuc Rd, Concord, MA 01742-1616 Ph: (339) 201-1765 |
Ms. Nancy Nichols, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 56 Winthrop St, Concord, MA 01742 Phone: 508-517-1082 Fax: 978-318-0857 | |
Alison Calandra, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 86 Baker Avenue Ext Ste 100, Concord, MA 01742 Phone: 978-369-1113 | |
Ms. Victoria Shippen Kass, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Damonmill Sq, Damonmill Square Suite 4a1, Concord, MA 01742 Phone: 978-369-6006 | |
Leah Gina Goldenberg, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 300 Baker Ave Ste 300, Concord, MA 01742 Phone: 864-336-2731 Fax: 833-740-3387 | |
Marie F. Darsch, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 86 Baker Avenue Extension, Concord, MA 01742 Phone: 978-287-9380 Fax: 978-287-6199 | |
Julie Talcoff, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-287-3428 | |
Kyle Taylor Ganson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Walden St, Suite #3, Concord, MA 01742 Phone: 774-279-0009 |