| Sivarin Nelson, | |
|
37 Water St Ste 1, Wakefield, MA 01880-3044 | |
| (617) 333-8775 | |
| Not Available |
| Full Name | Sivarin Nelson |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 37 Water St Ste 1, Wakefield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083220347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Sivarin Nelson, 37 Water St Ste 1, Wakefield, MA 01880-3044 Ph: (617) 333-8775 | Sivarin Nelson, 37 Water St Ste 1, Wakefield, MA 01880-3044 Ph: (617) 333-8775 |
Paula Elainor Green, CAGS, ME.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 338 Main St, Wakefield, MA 01880 Phone: 781-246-2010 | |
Ms. Mary Catherine Wagner, MS, CAGS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 27 Water St, #107b, Wakefield, MA 01880 Phone: 978-827-1247 | |
Mr. Marc Konicov, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16 Green St, Wakefield, MA 01880 Phone: 781-245-1721 | |
Michael J Smukler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 338 Main St, Suite 203, Wakefield, MA 01880 Phone: 781-246-1964 Fax: 718-213-3470 | |
Shannon Mcgrail, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Lincoln St # 216, Wakefield, MA 01880 Phone: 781-328-1904 | |
Tayquan Nicholas Pomare-taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 North Ave # 15, Wakefield, MA 01880 Phone: 781-879-2090 |