| Noah Slater, | |
|
200 Cordwainer Dr Ste 200, Norwell, MA 02061-1671 | |
| (781) 878-8340 | |
| (339) 788-9904 |
| Full Name | Noah Slater |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 200 Cordwainer Dr Ste 200, Norwell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134618846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | LICSW127628 (Massachusetts) | Secondary |
| Entity Name | Signature Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
| Entity Name | Brockton Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063431286 PECOS PAC ID: 4082504733 Enrollment ID: O20040317000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Noah Slater, 200 Cordwainer Dr Ste 200, Norwell, MA 02061-1671 Ph: (781) 878-8340 | Noah Slater, 200 Cordwainer Dr Ste 200, Norwell, MA 02061-1671 Ph: (781) 878-8340 |
Martha Shanahan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 Washington St, Norwell, MA 02061 Phone: 781-413-5707 |
Margaret Virginia Crummey, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 80 Washington St, D-28, Norwell, MA 02061 Phone: 617-645-5846 Fax: 781-749-1444 |
Kelly Marie O'gara, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Grove St Ste 2f, Norwell, MA 02061 Phone: 781-261-1543 Fax: 781-610-9988 |
Noel Robert Coakley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Washington St, Norwell, MA 02061 Phone: 781-871-6550 |
Lois Freedman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Washington St Ste 104, Norwell, MA 02061 Phone: 617-543-1270 |
Miss Christina Dosouto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Cordwainer Dr, Norwell, MA 02061 Phone: 781-878-8340 |
Yuxin Zhang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 384 Washington St, Norwell, MA 02061 Phone: 781-428-4960 |