| Familywell Pllc | |
|
300 Baker Ave Ste 300 Concord MA 01742-2124 | |
| (864) 336-2731 | |
| (833) 740-3387 |
| Full Name | Familywell Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 300 Baker Ave Ste 300, Concord, Massachusetts |
| Authorized Official Name and Position | Jessica Gaulton (OWNER) |
| Authorized Official Contact | 2674324575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Familywell Pllc 144 Oakland St Wellesley MA 02481-5323 Ph: () - | Familywell Pllc 300 Baker Ave Ste 300 Concord MA 01742-2124 Ph: (864) 336-2731 |
| NPI Number | 1396524005 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 02/25/2025 |
| Certification Date | 02/25/2025 |
| Medicare PECOS PAC ID | 9436596582 |
|---|---|
| Medicare Enrollment ID | O20240325002040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396524005 | NPI | - | NPPES |
| Provider Name | Carrie Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841345972 PECOS PAC ID: 9739213935 Enrollment ID: I20100810000366 |
| Provider Name | Katherine Susan Pecora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376712406 PECOS PAC ID: 4981856903 Enrollment ID: I20121220000011 |
| Provider Name | Elise A Bocchino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780838904 PECOS PAC ID: 0042591901 Enrollment ID: I20170109000788 |
| Provider Name | Alexia Cirigliano Johnstone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568781011 PECOS PAC ID: 2961849682 Enrollment ID: I20240318001397 |
| Provider Name | Brittney Connery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184194904 PECOS PAC ID: 0345687711 Enrollment ID: I20240320003192 |
| Provider Name | Rebecca Alexandra Sturges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578808358 PECOS PAC ID: 3476801663 Enrollment ID: I20240918004152 |
| Provider Name | Melissa Jane Ayantola |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275671331 PECOS PAC ID: 7618418567 Enrollment ID: I20240919001353 |
| Provider Name | Erica Wilkerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881942662 PECOS PAC ID: 3870034630 Enrollment ID: I20240919002372 |
| Provider Name | Marly Hinestroza Gaviria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972974095 PECOS PAC ID: 7113468984 Enrollment ID: I20240919002913 |
| Provider Name | Ashley Manferdini Pepoli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124396064 PECOS PAC ID: 2163963836 Enrollment ID: I20240920002819 |
| Provider Name | Stephanie Ann Buendia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437981453 PECOS PAC ID: 8325569320 Enrollment ID: I20250306002328 |
| Provider Name | Dahyana Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366897944 PECOS PAC ID: 6507382579 Enrollment ID: I20250502001079 |
| Provider Name | Lauren Houle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083194377 PECOS PAC ID: 6002167137 Enrollment ID: I20250502001418 |
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