| Community Healthlink Inc | |
|
12 Queen Street Worcester MA 01610 | |
| (508) 860-1260 | |
| (508) 860-1115 |
| Full Name | Community Healthlink Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12 Queen Street, Worcester, Massachusetts |
| Authorized Official Name and Position | Jordan A. Oshlag (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 5088601163 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Healthlink Inc 72 Jaques Ave Worcester MA 01610-2476 Ph: (508) 860-1163 | Community Healthlink Inc 12 Queen Street Worcester MA 01610 Ph: (508) 860-1260 |
| NPI Number | 1649293028 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 10/25/2007 |
| Medicare PECOS PAC ID | 1153230065 |
|---|---|
| Medicare Enrollment ID | O20040726000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649293028 | NPI | - | NPPES |
| 1308076 | Medicaid | MA | |
| 1307002 | Medicaid | MA | |
| 1308742 | Medicaid | MA | |
| 1303007 | Medicaid | MA |
| Provider Name | Michele D Leaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295707206 PECOS PAC ID: 0446236566 Enrollment ID: I20040628001444 |
| Provider Name | Heidi J Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801981493 PECOS PAC ID: 5799678561 Enrollment ID: I20050222000217 |
| Provider Name | Christine Senechal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285740860 PECOS PAC ID: 3577519875 Enrollment ID: I20050330000351 |
| Provider Name | Elliot M Pittel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528117173 PECOS PAC ID: 5890742290 Enrollment ID: I20050407000624 |
| Provider Name | Mustafa M Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043317845 PECOS PAC ID: 5597706994 Enrollment ID: I20050516000966 |
| Provider Name | Joseph Paquette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396757837 PECOS PAC ID: 8022048768 Enrollment ID: I20050812000773 |
| Provider Name | Xiaoduo Fan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568453074 PECOS PAC ID: 2668403494 Enrollment ID: I20050822001074 |
| Provider Name | Nancy B. Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609964634 PECOS PAC ID: 1456377563 Enrollment ID: I20051018001024 |
| Provider Name | Diana M Hamilton Rousseau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275757726 PECOS PAC ID: 6406873918 Enrollment ID: I20051024001092 |
| Provider Name | Lisa A Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538277009 PECOS PAC ID: 0345260592 Enrollment ID: I20051201001005 |
| Provider Name | Terry A Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174596506 PECOS PAC ID: 9537173638 Enrollment ID: I20060127000416 |
| Provider Name | Tamara S Swartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538232095 PECOS PAC ID: 0244245959 Enrollment ID: I20060217000031 |
| Provider Name | Christine M Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700939188 PECOS PAC ID: 1557362746 Enrollment ID: I20070131000415 |
| Provider Name | Michael J Nowicki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821191016 PECOS PAC ID: 4688732464 Enrollment ID: I20081023000088 |
| Provider Name | Nawras S Shukair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205030483 PECOS PAC ID: 1951456789 Enrollment ID: I20090831000670 |
| Provider Name | Debika Paul |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962514174 PECOS PAC ID: 6406991363 Enrollment ID: I20100303000156 |
| Provider Name | Elzira A Deoliveira |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1558316380 PECOS PAC ID: 0143488924 Enrollment ID: I20120224000534 |
| Provider Name | Daron C Massey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558522896 PECOS PAC ID: 1456516376 Enrollment ID: I20120627000375 |
| Provider Name | Mohit P Chopra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902996572 PECOS PAC ID: 1850351768 Enrollment ID: I20130610000326 |
| Provider Name | Marta A Kulikowska-minnich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982992749 PECOS PAC ID: 5395971113 Enrollment ID: I20131126000536 |
| Provider Name | Rangsun Sitthichai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427259712 PECOS PAC ID: 4688802796 Enrollment ID: I20140117001393 |
| Provider Name | Jennifer S Bradford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619292976 PECOS PAC ID: 2567771173 Enrollment ID: I20151022000617 |
| Provider Name | Brian M Skehan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235493834 PECOS PAC ID: 5698070464 Enrollment ID: I20160217000326 |
| Provider Name | Abita Raj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447544705 PECOS PAC ID: 9739473992 Enrollment ID: I20160810001857 |
| Provider Name | Caitlin M Mcelwee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760854368 PECOS PAC ID: 0143586248 Enrollment ID: I20171106002125 |
| Provider Name | Therese M Binyame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922568211 PECOS PAC ID: 0244572451 Enrollment ID: I20190508000808 |
| Provider Name | Melissa Marie Dmochowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821286790 PECOS PAC ID: 6204161888 Enrollment ID: I20190718002721 |
| Provider Name | Yui Kitayama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639633530 PECOS PAC ID: 9830427962 Enrollment ID: I20190827002270 |
| Provider Name | Danielle J Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346621174 PECOS PAC ID: 4385975507 Enrollment ID: I20191018001436 |
| Provider Name | Brookeita Payne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588033187 PECOS PAC ID: 6204255052 Enrollment ID: I20200929001842 |
| Provider Name | Sophia Kogan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366836736 PECOS PAC ID: 4486998648 Enrollment ID: I20201007002425 |
| Provider Name | Prerna P Moorjani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548622608 PECOS PAC ID: 4789920844 Enrollment ID: I20201028000731 |
| Provider Name | Ashlee Dionne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528369089 PECOS PAC ID: 8224449772 Enrollment ID: I20201204001619 |
| Provider Name | Rachel Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114329331 PECOS PAC ID: 9436561008 Enrollment ID: I20201224000537 |
| Provider Name | Kara A Lindquist Lowen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720432511 PECOS PAC ID: 6406149947 Enrollment ID: I20210812002863 |
| Provider Name | Maria Inez Valenca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134632243 PECOS PAC ID: 6103185525 Enrollment ID: I20210824003332 |
| Provider Name | Fortunate Munhutu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750961561 PECOS PAC ID: 5193001055 Enrollment ID: I20210928003054 |
| Provider Name | Brian P Daly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699970657 PECOS PAC ID: 8729230628 Enrollment ID: I20211216001056 |
| Provider Name | Anya L Mack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376840017 PECOS PAC ID: 1850692831 Enrollment ID: I20220113000424 |
| Provider Name | Antoinette Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205947025 PECOS PAC ID: 5294711420 Enrollment ID: I20220207000259 |
| Provider Name | Raphael M Bibiu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376004333 PECOS PAC ID: 0840395646 Enrollment ID: I20220219000017 |
| Provider Name | Olivia Grace Skalski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558818443 PECOS PAC ID: 9931593555 Enrollment ID: I20220224002545 |
| Provider Name | Amy Beth Hensler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982180592 PECOS PAC ID: 3577957851 Enrollment ID: I20220302002101 |
| Provider Name | Chidinma Jennifer Onyegwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205271418 PECOS PAC ID: 5193032514 Enrollment ID: I20220316000476 |
| Provider Name | Kiana R Gadson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376970491 PECOS PAC ID: 7719319250 Enrollment ID: I20220427000202 |
| Provider Name | Jennifer Gail Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164083747 PECOS PAC ID: 4486083201 Enrollment ID: I20220520001327 |
| Provider Name | Micayla I Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770247306 PECOS PAC ID: 7810377009 Enrollment ID: I20220706001059 |
| Provider Name | Laveta J Roberson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780316299 PECOS PAC ID: 0648653725 Enrollment ID: I20220823001721 |
| Provider Name | Emily Marie Roxberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790020782 PECOS PAC ID: 7214271600 Enrollment ID: I20220829000351 |
| Provider Name | Taber Cloey Lightbourne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407381486 PECOS PAC ID: 2264831825 Enrollment ID: I20220830003838 |
| Provider Name | Victor O Boadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598377699 PECOS PAC ID: 3779967039 Enrollment ID: I20220906001112 |
| Provider Name | Kai Dacosta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578711016 PECOS PAC ID: 7719283944 Enrollment ID: I20221012003696 |
| Provider Name | Bernard M Waigi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467079517 PECOS PAC ID: 3779959226 Enrollment ID: I20221025001034 |
| Provider Name | Tiffany R Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619073509 PECOS PAC ID: 0345506986 Enrollment ID: I20221102001810 |
| Provider Name | Tammy Marie Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730656331 PECOS PAC ID: 0941677421 Enrollment ID: I20221114001536 |
| Provider Name | Adedoyin C Adeniji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801250816 PECOS PAC ID: 9638547953 Enrollment ID: I20221117001818 |
| Provider Name | Ji Hyang Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659018570 PECOS PAC ID: 0143690495 Enrollment ID: I20221230001174 |
| Provider Name | Erin Butler Callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942877337 PECOS PAC ID: 0345610630 Enrollment ID: I20230103000237 |
| Provider Name | Jennifer Broomfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073849006 PECOS PAC ID: 9830572114 Enrollment ID: I20230224002277 |
| Provider Name | Gabriel M Gennari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306584412 PECOS PAC ID: 2365816121 Enrollment ID: I20230316002824 |
| Provider Name | Mispa Shurri Sango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811613615 PECOS PAC ID: 9931564291 Enrollment ID: I20230420002682 |
| Provider Name | Jesse Scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174839799 PECOS PAC ID: 9436514577 Enrollment ID: I20230425002424 |
| Provider Name | Eleanora Cacciola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265806400 PECOS PAC ID: 3577929793 Enrollment ID: I20230515000104 |
| Provider Name | Kristen Marie Pempek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346915279 PECOS PAC ID: 9032515432 Enrollment ID: I20230601002454 |
| Provider Name | Badu Adjei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013604271 PECOS PAC ID: 1658739859 Enrollment ID: I20230621000203 |
| Provider Name | Tung Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699271429 PECOS PAC ID: 5395106702 Enrollment ID: I20230802000416 |
| Provider Name | Elizabeth C Magda Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538530647 PECOS PAC ID: 2163879669 Enrollment ID: I20231106000376 |
| Provider Name | Kathleen Mary Sullivan-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194255067 PECOS PAC ID: 3678921145 Enrollment ID: I20231121002843 |
| Provider Name | Chukwuemeka P Asiegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023745759 PECOS PAC ID: 1355790759 Enrollment ID: I20231211002484 |
| Provider Name | Luann Fox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760492706 PECOS PAC ID: 5395181663 Enrollment ID: I20240308001154 |
Olivia Homan, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Cedar St, Worcester, MA 01609 Phone: 617-581-2267 | |
Autism Behavioral Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Sterling St, Worcester, MA 01610 Phone: 508-321-3055 Fax: 508-321-3055 | |
James P. Bresnahan Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Cedar St, Worcester, MA 01609 Phone: 508-752-1170 Fax: 508-752-1800 | |
Community Health Link Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-438-5578 Fax: 508-860-1023 | |
Guided Growth Therapy Collective Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Falcon St, Worcester, MA 01603 Phone: 508-769-2766 | |
Ld Psych Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Allston Ave, Worcester, MA 01604 Phone: 508-356-4495 | |
Hope Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 465 Park Ave, Worcester, MA 01610 Phone: 508-713-1191 |