| Theresa James, LICSW | |
|
1111 Elm St Ste 10, West Springfield, MA 01089-1540 | |
| (413) 798-8957 | |
| Not Available |
| Full Name | Theresa James |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 7 Years |
| Location | 1111 Elm St Ste 10, West Springfield, 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 |
|---|---|---|---|
| 1598517310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 127566 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Supportive Behavioral Care Of Mass Llc | 8123530169 | 22 |
| Supportive Behavioral Care Of Ma Llc | 8628346731 | 88 |
| Entity Name | Supportive Behavioral Care Of Ma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa James, LICSW 785 Williams St Spc 354, Longmeadow, MA 01106-2063 Ph: (413) 273-2110 | Theresa James, LICSW 1111 Elm St Ste 10, West Springfield, MA 01089-1540 Ph: (413) 798-8957 |
Stephanie Hudon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Myron St, Suite 2, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Hayley Pepin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1319 Riverdale St, West Springfield, MA 01089 Phone: 469-684-4410 | |
Joyce Wise, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1132 Westfield St, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0096 | |
Ulyssa Lopez, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 59 Interstate Dr Ste 3, West Springfield, MA 01089 Phone: 774-206-1125 | |
Karina Velazquez, MSW INTERN Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Myron St Ste A, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Leslie Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 Myron St, Suite A, West Springfield, MA 01089 Phone: 413-592-1980 Fax: 413-439-0100 | |
Victoria A Salal, MSW, L.I.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 117 Park Ave Ste 201a, West Springfield, MA 01089 Phone: 413-732-7677 Fax: 413-732-7688 |