| Liana Kim Van De Water, | |
|
100 George P Hassett Dr, Medford, MA 02155-3258 | |
| (781) 393-4828 | |
| Not Available |
| Full Name | Liana Kim Van De Water |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 100 George P Hassett Dr, Medford, 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 |
|---|---|---|---|
| 1437710084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lynn Community Health, Inc. | 0042217507 | 87 |
| Entity Name | Lynn Community Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013997691 PECOS PAC ID: 0042217507 Enrollment ID: O20061026000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Liana Kim Van De Water, 100 George P Hassett Dr, Medford, MA 02155-3258 Ph: (781) 393-4828 | Liana Kim Van De Water, 100 George P Hassett Dr, Medford, MA 02155-3258 Ph: (781) 393-4828 |
Ms. Socorro Ching, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Winthrop St, Medford, MA 02155 Phone: 781-395-3822 | |
Miss Melissa Wood, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Mystic Ave, Medford, MA 02155 Phone: 781-396-1199 Fax: 781-396-1439 | |
Barbara Joan Katz, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Road, Suite 209, Medford, MA 02155 Phone: 781-395-0625 Fax: 781-395-0198 | |
Wesley Jonathan Lambert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Wright Ave, Medford, MA 02155 Phone: 781-368-0234 | |
Jill N Dubendris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Park St, Medford, MA 02155 Phone: 508-212-0299 | |
Mr. Jonathan Joseph Donahue, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 0 Governors Ave, Suite 20, Medford, MA 02155 Phone: 781-395-3086 Fax: 781-395-3086 | |
Hope Koram, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 15 Carberry St, Medford, MA 02155 Phone: 617-756-6267 |