| Robert Holmes, LCSW | |
|
174 Lowell Rd Unit 57, Mashpee, MA 02649-2830 | |
| (508) 566-7333 | |
| Not Available |
| Full Name | Robert Holmes |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 174 Lowell Rd Unit 57, Mashpee, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598162653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 1041C0700X | Social Worker - Clinical | C017510 (North Carolina) | Secondary |
| Entity Name | SB Transitional Sub LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Holmes, LCSW 174 Lowell Rd Unit 57, Mashpee, MA 02649-2830 Ph: (508) 566-7333 | Robert Holmes, LCSW 174 Lowell Rd Unit 57, Mashpee, MA 02649-2830 Ph: (508) 566-7333 |
Miriam C Mackenzie, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Beechwood Dr, Mashpee, MA 02649 Phone: 508-269-8262 |
Justine Podurgiel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 470 Main St, Mashpee, MA 02649 Phone: 508-760-1475 |
Ms. Shana M Truel, M.ED., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 477 Main Street, Mashpee, MA 02649 Phone: 405-596-1244 |
Susan Wilkie, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Nathan Ellis Hwy, Mashpee, MA 02649 Phone: 508-477-5488 Fax: 508-477-9334 |
Michelle Izkowitz, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Nathan Ellis Hwy Ste B, Mashpee, MA 02649 Phone: 774-202-9264 |
Kimberly E Hanna, L.I.C.S.W.; LADC-1 Counselor Medicare: Accepting Medicare Assignments Practice Location: 11 Cape Dr, Suite 13, Mashpee, MA 02649 Phone: 617-347-5298 |
Samantha Joyce Mueller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090 Fax: 508-477-7028 |