| Ellen S. Weinstein, Licsw, Llc | |
|
209 Quincy St Brockton MA 02302-2926 | |
| (774) 343-3091 | |
| (508) 584-3480 |
| Full Name | Ellen S. Weinstein, Licsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 209 Quincy St, Brockton, Massachusetts |
| Authorized Official Name and Position | Ellen Weinstein (SOCIAL WORKER) |
| Authorized Official Contact | 7817106947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen S. Weinstein, Licsw, Llc 41 Indian Cove Way South Easton MA 02375-1773 Ph: (781) 071-0694 | Ellen S. Weinstein, Licsw, Llc 209 Quincy St Brockton MA 02302-2926 Ph: (774) 343-3091 |
| NPI Number | 1083179519 |
|---|---|
| Provider Enumeration Date | 02/08/2019 |
| Last Update Date | 02/08/2019 |
| Medicare PECOS PAC ID | 9537402946 |
|---|---|
| Medicare Enrollment ID | O20190528000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083179519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ellen S Weinstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235113721 PECOS PAC ID: 5991721573 Enrollment ID: I20051022000229 |
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