| KM Collaborative Inc | |
|
867 Boylston St Fl 5 Boston MA 02116-2774 | |
| (617) 869-7305 | |
| Not Available |
| Full Name | KM Collaborative Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 867 Boylston St Fl 5, Boston, Massachusetts |
| Authorized Official Name and Position | Kathia J Lambert (DIRECTOR) |
| Authorized Official Contact | 6178697305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| KM Collaborative Inc 867 Boylston St Ste 1364 Boston MA 02116-2774 Ph: (617) 869-7305 | KM Collaborative Inc 867 Boylston St Fl 5 Boston MA 02116-2774 Ph: (617) 869-7305 |
| NPI Number | 1134850589 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/17/2022 |
| Medicare PECOS PAC ID | 2062938426 |
|---|---|
| Medicare Enrollment ID | O20250429001116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134850589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Kathia J Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740417815 PECOS PAC ID: 0244497402 Enrollment ID: I20160429000334 |
| Provider Name | Elsa Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922669332 PECOS PAC ID: 0749706901 Enrollment ID: I20250430001911 |
| Provider Name | Sarai Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629320510 PECOS PAC ID: 4082130125 Enrollment ID: I20250501000514 |
| Provider Name | Noemy Santos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740812627 PECOS PAC ID: 9234629783 Enrollment ID: I20251104002880 |
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