| Family Counseling Associates Of Salem Andover Llc | |
|
12 Essex St Suite 4 Andover MA 01810-3728 | |
| (978) 886-2359 | |
| Not Available |
| Full Name | Family Counseling Associates Of Salem Andover Llc |
|---|---|
| Speciality | Counselor |
| Location | 12 Essex St, Andover, Massachusetts |
| Authorized Official Name and Position | Elisabeth Pesce (SECRETARY) |
| Authorized Official Contact | 9046054986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Counseling Associates Of Salem Andover Llc 12 Essex St Suite 4 Andover MA 01810-3728 Ph: (978) 886-2359 | Family Counseling Associates Of Salem Andover Llc 12 Essex St Suite 4 Andover MA 01810-3728 Ph: (978) 886-2359 |
| NPI Number | 1013246602 |
|---|---|
| Provider Enumeration Date | 12/10/2009 |
| Last Update Date | 12/01/2022 |
| Certification Date | 12/01/2022 |
| Medicare PECOS PAC ID | 1052647963 |
|---|---|
| Medicare Enrollment ID | O20230504000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013246602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | SW 114188 (Massachusetts) | Primary |
| Provider Name | Lisa A Gerhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023536919 PECOS PAC ID: 2769893403 Enrollment ID: I20201201001834 |
| Provider Name | Lyndsey Bens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700474830 PECOS PAC ID: 9436566189 Enrollment ID: I20210325001643 |
| Provider Name | Hannah D Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528560638 PECOS PAC ID: 5890035026 Enrollment ID: I20230504000562 |
| Provider Name | Elyse Rose St Hilaire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497234744 PECOS PAC ID: 1759747785 Enrollment ID: I20230517003449 |
| Provider Name | Jeannette Laplant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831738046 PECOS PAC ID: 2365862190 Enrollment ID: I20230628003340 |
| Provider Name | Lynly Loffredo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245888973 PECOS PAC ID: 8325409675 Enrollment ID: I20230802002557 |
| Provider Name | Debra Chen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093351991 PECOS PAC ID: 5597128058 Enrollment ID: I20230830004055 |
| Provider Name | Kendall L. Schieding |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629268735 PECOS PAC ID: 3072963131 Enrollment ID: I20240102002260 |
| Provider Name | Emily Carey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083975601 PECOS PAC ID: 1951753219 Enrollment ID: I20240123001038 |
| Provider Name | Emily Gaudion |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508214636 PECOS PAC ID: 0446602692 Enrollment ID: I20240123004284 |
| Provider Name | Shruti Joshi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225684590 PECOS PAC ID: 4981057197 Enrollment ID: I20240124001416 |
| Provider Name | Michelle Wasiuk |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033822259 PECOS PAC ID: 6507219698 Enrollment ID: I20240124004554 |
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