| Edmondson Chukwuezi, | |
|
150 Lincoln St, Needham, MA 02492-2914 | |
| (718) 506-1115 | |
| Not Available |
| Full Name | Edmondson Chukwuezi |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 2 Years |
| Location | 150 Lincoln St, Needham, 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 |
|---|---|---|---|
| 1619830163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 25055 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Supportive Behavioral Care Of Mass Llc | 8123530169 | 49 |
| 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 |
| Entity Name | Supportive Behavioral Care of Mass LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932914223 PECOS PAC ID: 8123530169 Enrollment ID: O20250625000769 |
| Entity Name | Sunshine Behavioral Healthcare PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780541920 PECOS PAC ID: 6103391388 Enrollment ID: O20260406001580 |
| Mailing Address | Practice Location Address |
|---|---|
| Edmondson Chukwuezi, 51 Saveena Dr, Attleboro, MA 02703-6063 Ph: (781) 760-0917 | Edmondson Chukwuezi, 150 Lincoln St, Needham, MA 02492-2914 Ph: (718) 506-1115 |
Mrs. Suzanne R Bruce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Gould St Ste 230, Needham, MA 02494 Phone: 774-331-8226 Fax: 617-663-6056 |
April Maya Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 140 Gould St Ste 230, Needham, MA 02494 Phone: 774-225-0006 |
Mrs. Cara M Caissie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Highland Ave, Needham, MA 02494 Phone: 781-433-0672 Fax: 781-559-3192 |
Lisa R Bello, LICSW, LADC-I, CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 Great Plain Ave, Suite 920271, Needham, MA 02492 Phone: 617-680-7669 |
Lauren Sohn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 237 Highland Ave, Needham, MA 02494 Phone: 781-433-0672 |
Tess Blaylock, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1968 Central Ave, Needham, MA 02492 Phone: 781-449-4500 |
Mrs. Denise Allen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1968 Central Ave, Needham, MA 02492 Phone: 781-292-2037 Fax: 781-453-0809 |