| Madison A Goodrow, | |
|
585 Lincoln St, Worcester, MA 01605-1906 | |
| (508) 831-0045 | |
| Not Available |
| Full Name | Madison A Goodrow |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 585 Lincoln St, Worcester, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720652902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Northeast Behavioral Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302586 PECOS PAC ID: 0446155808 Enrollment ID: O20100817000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison A Goodrow, 10 Mechanic St Ste 302, Worcester, MA 01608-2419 Ph: (508) 792-5400 | Madison A Goodrow, 585 Lincoln St, Worcester, MA 01605-1906 Ph: (508) 831-0045 |
Mayra A Maldonado, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 508-770-0511 | |
Miss Kara Lynn Ford, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-753-2967 | |
Rosemary Robinson Milburn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Lincoln St, Worcester, MA 01605 Phone: 508-453-3013 Fax: 508-795-0224 | |
Miss Andrene Latoya Scarlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-767-3038 | |
Efrain Vazquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345a Greenwood St, Worcester, MA 01607 Phone: 508-363-0200 | |
Robert Jarrard Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Plantation St, Worcester, MA 01604 Phone: 774-262-0426 | |
Molly Martone, Counselor Medicare: Medicare Enrolled Practice Location: 135 Gold Star Blvd, Worcester, MA 01606 Phone: 508-579-6407 |