| Carrie Lam Prendergast - Licsw | |
| 
					132 Chief Justice Cushing Hwy Ste 70 Cohasset MA 02025-1259  | |
| (781) 738-2996 | |
| Not Available | 
| Full Name | Carrie Lam Prendergast - Licsw | 
|---|---|
| Speciality | Social Worker | 
| Location | 132 Chief Justice Cushing Hwy Ste 70, Cohasset, Massachusetts | 
| Authorized Official Name and Position | Carrie Lam Prendergast (PRESIDENT) | 
| Authorized Official Contact | 7817382996 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carrie Lam Prendergast - Licsw 132 Chief Justice Cushing Hwy Ste 70 Cohasset MA 02025-1259 Ph: (781) 738-2996  | Carrie Lam Prendergast - Licsw 132 Chief Justice Cushing Hwy Ste 70 Cohasset MA 02025-1259 Ph: (781) 738-2996  | 
| NPI Number | 1477228393 | 
|---|---|
| Provider Enumeration Date | 08/12/2021 | 
| Last Update Date | 08/12/2021 | 
| Certification Date | 08/11/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477228393 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary | 
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