| Luk Crisis Center Inc. | |
|
545 Westminster St Fitchburg MA 01420-4727 | |
| (978) 345-0685 | |
| (978) 342-8495 |
| Full Name | Luk Crisis Center Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 545 Westminster St, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Lois J. Barry (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9783450685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luk Crisis Center Inc. 545 Westminster St Fitchburg MA 01420-4727 Ph: (978) 345-0685 | Luk Crisis Center Inc. 545 Westminster St Fitchburg MA 01420-4727 Ph: (978) 345-0685 |
| NPI Number | 1306962741 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/27/2008 |
| Medicare PECOS PAC ID | 2264476993 |
|---|---|
| Medicare Enrollment ID | O20050614000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306962741 | NPI | - | NPPES |
| 1321277 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4LJW (Massachusetts) | Primary |
| Provider Name | Victoria P Wolfson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194759597 PECOS PAC ID: 8022076611 Enrollment ID: I20041229000519 |
| Provider Name | Karen J Dude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669579041 PECOS PAC ID: 5496752289 Enrollment ID: I20061109000287 |
| Provider Name | Wendy M Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124674213 PECOS PAC ID: 4385073691 Enrollment ID: I20200408003013 |
| Provider Name | Oluyemisi Olatilu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073374625 PECOS PAC ID: 2860832961 Enrollment ID: I20240729000016 |
| Provider Name | Sona O. Klimowicz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447422308 PECOS PAC ID: 7719411842 Enrollment ID: I20241113000376 |
| Provider Name | Emily A Morgan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366116063 PECOS PAC ID: 5294261731 Enrollment ID: I20241209000515 |
| Provider Name | Sarah L Cameron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568529535 PECOS PAC ID: 0547797383 Enrollment ID: I20241218001988 |
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