| Tara Burgess, | |
|
357 Nashawtuc Rd, Concord, MA 01742-1616 | |
| (339) 201-1765 | |
| Not Available |
| Full Name | Tara Burgess |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 3 Years |
| Location | 357 Nashawtuc Rd, Concord, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487263281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youth Opportunities Upheld Inc | 9638190374 | 16 |
| Entity Name | Youth Opportunities Upheld Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Burgess, 357 Nashawtuc Rd, Concord, MA 01742-1616 Ph: (339) 201-1765 | Tara Burgess, 357 Nashawtuc Rd, Concord, MA 01742-1616 Ph: (339) 201-1765 |
Judith Glixon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Mr. Jeff C Desjarlais, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Main St, Concord, MA 01742 Phone: 978-402-2336 | |
Constance Dimarino, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 | |
Mr. Christopher Hardiman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Nicole Sheehan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Avenue Ext Ste 100, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Kristen Kenney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Partridge Ln, Concord, MA 01742 Phone: 617-763-7200 | |
Gabrielle Kosta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Avenue Ext Ste 100, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 |