| Maryann E. Paleologopoulos Licsw, Inc | |
|
2 S Bridge Dr Suite 1b Agawam MA 01001-2015 | |
| (413) 789-0200 | |
| (413) 789-0201 |
| Full Name | Maryann E. Paleologopoulos Licsw, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 2 S Bridge Dr, Agawam, Massachusetts |
| Authorized Official Name and Position | Maryann E. Paleologopoulos (OWNER) |
| Authorized Official Contact | 4137890200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryann E. Paleologopoulos Licsw, Inc 2 S Bridge Dr Suite 1b Agawam MA 01001-2015 Ph: (413) 789-0200 | Maryann E. Paleologopoulos Licsw, Inc 2 S Bridge Dr Suite 1b Agawam MA 01001-2015 Ph: (413) 789-0200 |
| NPI Number | 1851656193 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 1951552868 |
|---|---|
| Medicare Enrollment ID | O20121126000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851656193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114945 (Massachusetts) | Primary |
| Provider Name | Maryann E Paleologopoulos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306082334 PECOS PAC ID: 3476618075 Enrollment ID: I20090216000047 |
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