| Ms Melissa Jo Ann Clarke, MA, LMHC | |
|
10 Gove St, East Boston, MA 02128-1920 | |
| (617) 568-5800 | |
| (617) 568-4756 |
| Full Name | Ms Melissa Jo Ann Clarke |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 10 Gove St, East Boston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265776686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 9740 (Massachusetts) | Primary |
| Entity Name | Internal Medical Associates-ebnhc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
| Entity Name | East Boston Neighborhood Health Center Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa Jo Ann Clarke, MA, LMHC 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 568-5800 | Ms Melissa Jo Ann Clarke, MA, LMHC 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 568-5800 |
Yueqi Li, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Maverick Sq, East Boston, MA 02128 Phone: 617-569-5800 | |
Mr. Roscoe M. Hurley, LADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 White St, East Boston, MA 02128 Phone: 617-447-1766 | |
Liliana Mantilla, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Nga Hoang Bui, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-912-7573 | |
Holly Strauss, Counselor Medicare: Medicare Enrolled Practice Location: 2 Lexington St, Suite 1, East Boston, MA 02128 Phone: 617-331-3814 | |
Erica Konikowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Condor St, East Boston, MA 02128 Phone: 617-912-7614 | |
Linda M Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Lexington St, East Boston, MA 02128 Phone: 617-569-4561 Fax: 617-418-8133 |