| Riverside Community Care, Inc. | |
|
190 Lenox St Norwood MA 02062-3416 | |
| (781) 329-0909 | |
| (781) 329-2631 |
| Full Name | Riverside Community Care, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 190 Lenox St, Norwood, Massachusetts |
| Authorized Official Name and Position | Marsha Medalie (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 7813205328 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Community Care, Inc. 270 Bridge St Ste 301 Dedham MA 02026-1798 Ph: (781) 329-0909 | Riverside Community Care, Inc. 190 Lenox St Norwood MA 02062-3416 Ph: (781) 329-0909 |
| NPI Number | 1780791467 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 11/02/2017 |
| Medicare PECOS PAC ID | 6709799885 |
|---|---|
| Medicare Enrollment ID | O20031106000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780791467 | NPI | - | NPPES |
| 1310909 | Medicaid | MA | |
| 1316281 | Medicaid | MA | |
| EI0028 | Other | MA | BLUECROSSBLUESHIELDMA |
| 617939 | Other | MA | HPHC |
| 1308017 | Medicaid | MA | |
| 1316273 | Medicaid | MA | |
| 612780 | Other | MA | TUFTS |
| 715687 | Other | MA | TUFTS |
| 1308238 | Medicaid | MA | |
| M18647 | Other | MA | BLUECROSSBLUESHIELD MA |
| 0007559 | Other | MA | NHP EI |
| 1307991 | Medicaid | MA | |
| 1308009 | Medicaid | MA | |
| 42285 | Other | MA | MAGELLAN |
| 1004385 | Other | MA | BEACON -FALLON & NHP |
| 1310925 | Medicaid | MA | |
| 1802704 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ellen A Moodie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699841650 PECOS PAC ID: 8820901507 Enrollment ID: I20031110000049 |
| Provider Name | Kimberly D Percival |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306906847 PECOS PAC ID: 6406833771 Enrollment ID: I20040706000112 |
| Provider Name | Erin M Mcgrath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588749402 PECOS PAC ID: 7911986815 Enrollment ID: I20040715000070 |
| Provider Name | Francis L Busconi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871664276 PECOS PAC ID: 2860463197 Enrollment ID: I20040802001089 |
| Provider Name | Sandra Felder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164583548 PECOS PAC ID: 1557320801 Enrollment ID: I20041004000689 |
| Provider Name | Irina V Angel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023058419 PECOS PAC ID: 6507829777 Enrollment ID: I20041109000266 |
| Provider Name | Julie M Greiner Ferris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972600872 PECOS PAC ID: 0648234104 Enrollment ID: I20041115000653 |
| Provider Name | Richard N Reiner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639194947 PECOS PAC ID: 6002700457 Enrollment ID: I20050324000024 |
| Provider Name | Michael S Braverman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891851986 PECOS PAC ID: 9931012408 Enrollment ID: I20050324000349 |
| Provider Name | Pamela W Hoyt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508930793 PECOS PAC ID: 2062469729 Enrollment ID: I20050405000481 |
| Provider Name | Philip D Altekruse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255354049 PECOS PAC ID: 8426097395 Enrollment ID: I20050429000355 |
| Provider Name | Mark D Norton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033296876 PECOS PAC ID: 8426098823 Enrollment ID: I20050505000082 |
| Provider Name | Marcel L Descheneaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578678694 PECOS PAC ID: 0042251829 Enrollment ID: I20050523000224 |
| Provider Name | Sophie M Jennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932323714 PECOS PAC ID: 1951339928 Enrollment ID: I20050801000341 |
| Provider Name | Marjorie P Pearson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013089887 PECOS PAC ID: 0648208587 Enrollment ID: I20050801001035 |
| Provider Name | Carolyn B Spengler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396878625 PECOS PAC ID: 9335178979 Enrollment ID: I20050804000550 |
| Provider Name | Ruth E Rosenblatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174675193 PECOS PAC ID: 7810926896 Enrollment ID: I20050810000359 |
| Provider Name | John R Kania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073506796 PECOS PAC ID: 9133159247 Enrollment ID: I20050818000387 |
| Provider Name | Sharon M Mcdonough Busa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205909694 PECOS PAC ID: 7012948797 Enrollment ID: I20050823000153 |
| Provider Name | Lori A Barry Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124146527 PECOS PAC ID: 3375574916 Enrollment ID: I20050824000234 |
| Provider Name | Joseph A Shrand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376555276 PECOS PAC ID: 9032141460 Enrollment ID: I20050907000562 |
| Provider Name | Mary F Lawler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326160011 PECOS PAC ID: 0345272498 Enrollment ID: I20050909000096 |
| Provider Name | Robert D Buckland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992764856 PECOS PAC ID: 5395778351 Enrollment ID: I20050912000611 |
| Provider Name | Jill H Nagorniak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336224955 PECOS PAC ID: 1355374521 Enrollment ID: I20050917000106 |
| Provider Name | Susan S Bitensky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255634028 PECOS PAC ID: 9234162421 Enrollment ID: I20050917000233 |
| Provider Name | Gail M Conley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740352061 PECOS PAC ID: 5597780700 Enrollment ID: I20051006000846 |
| Provider Name | Mary R Bewig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194779769 PECOS PAC ID: 8921023425 Enrollment ID: I20051013000667 |
| Provider Name | Steven J Connors |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376623504 PECOS PAC ID: 7416972815 Enrollment ID: I20051013000715 |
| Provider Name | Leah A Priestley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477626240 PECOS PAC ID: 4082639497 Enrollment ID: I20051013000774 |
| Provider Name | Patricia J Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225187107 PECOS PAC ID: 0840205688 Enrollment ID: I20060215000199 |
| Provider Name | Michelle A Pressma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861571325 PECOS PAC ID: 1254349293 Enrollment ID: I20060403000014 |
| Provider Name | Kerri A Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003913567 PECOS PAC ID: 1557367430 Enrollment ID: I20061017000331 |
| Provider Name | Robert Elswit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811968506 PECOS PAC ID: 5395630644 Enrollment ID: I20070626000598 |
| Provider Name | John L Boisseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215090170 PECOS PAC ID: 5890885610 Enrollment ID: I20071218000030 |
| Provider Name | Margaret M. Johnson Curran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275650400 PECOS PAC ID: 8224110135 Enrollment ID: I20080131000249 |
| Provider Name | Susan L Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720146798 PECOS PAC ID: 5597842559 Enrollment ID: I20080402000047 |
| Provider Name | Victoria S Pasche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992866768 PECOS PAC ID: 8325118409 Enrollment ID: I20080602000119 |
| Provider Name | Donna E Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992921274 PECOS PAC ID: 9830278688 Enrollment ID: I20080612000268 |
| Provider Name | Manjit K Khalsa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104965847 PECOS PAC ID: 5890861553 Enrollment ID: I20080903000278 |
| Provider Name | Kathleen A Walsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386861946 PECOS PAC ID: 1759440480 Enrollment ID: I20081110000361 |
| Provider Name | Victoria L. Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801960604 PECOS PAC ID: 2466581848 Enrollment ID: I20100524000085 |
| Provider Name | Lisa R Goldberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639472590 PECOS PAC ID: 1850577958 Enrollment ID: I20110525000022 |
| Provider Name | Lisa M Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619009560 PECOS PAC ID: 5597943464 Enrollment ID: I20110623000263 |
| Provider Name | Lawrence J Fuhrman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861566671 PECOS PAC ID: 9638357445 Enrollment ID: I20110627000504 |
| Provider Name | Kristen L Barletta |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033404298 PECOS PAC ID: 9032382106 Enrollment ID: I20111105000011 |
| Provider Name | Diane L Krakower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871670406 PECOS PAC ID: 8628096955 Enrollment ID: I20111221000051 |
| Provider Name | Lawrence I Berkowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760571731 PECOS PAC ID: 8921275025 Enrollment ID: I20120112000469 |
| Provider Name | Dale T Golembeski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992877161 PECOS PAC ID: 0941467138 Enrollment ID: I20120130000911 |
| Provider Name | Abigail E Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003057720 PECOS PAC ID: 5991837932 Enrollment ID: I20120628000659 |
| Provider Name | Malak S Rafla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952625105 PECOS PAC ID: 8325296775 Enrollment ID: I20120910000844 |
| Provider Name | Ranjeev Benjamin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265767016 PECOS PAC ID: 1951552744 Enrollment ID: I20121102000229 |
| Provider Name | Michelle L Roover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134457195 PECOS PAC ID: 6305098377 Enrollment ID: I20121221000040 |
| Provider Name | Edilia F Gomes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992860571 PECOS PAC ID: 6507891173 Enrollment ID: I20130418000485 |
| Provider Name | Jane S Dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952468753 PECOS PAC ID: 3779724802 Enrollment ID: I20130801000029 |
| Provider Name | Alana E Nagle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003059544 PECOS PAC ID: 6406090281 Enrollment ID: I20130917000616 |
| Provider Name | Daniel Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346587482 PECOS PAC ID: 7911141361 Enrollment ID: I20130925000150 |
| Provider Name | Rita F Chapdelaine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760701999 PECOS PAC ID: 3274760640 Enrollment ID: I20131210000384 |
| Provider Name | Lauren E Asensio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396033858 PECOS PAC ID: 3476784935 Enrollment ID: I20140326000704 |
| Provider Name | Jahyang K Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912144437 PECOS PAC ID: 1658595673 Enrollment ID: I20140613001223 |
| Provider Name | Patricia Coelho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225372527 PECOS PAC ID: 5294952032 Enrollment ID: I20140819000344 |
| Provider Name | Christine Player |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477974087 PECOS PAC ID: 8729303896 Enrollment ID: I20150212000294 |
| Provider Name | Tara Sayegh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144553728 PECOS PAC ID: 5496070112 Enrollment ID: I20150220000948 |
| Provider Name | Richard F Goggin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417006412 PECOS PAC ID: 5799005583 Enrollment ID: I20150519000797 |
| Provider Name | Angela Pang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811205479 PECOS PAC ID: 8527363134 Enrollment ID: I20160219000211 |
| Provider Name | Nicole V. Christian-brathwaite |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952560591 PECOS PAC ID: 6204094816 Enrollment ID: I20160315000504 |
| Provider Name | Elizabeth G Cherchia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689923435 PECOS PAC ID: 5395035711 Enrollment ID: I20160526000412 |
| Provider Name | Mary Beth Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003225657 PECOS PAC ID: 2567757057 Enrollment ID: I20160823001539 |
| Provider Name | Howard F Weiner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033266531 PECOS PAC ID: 9436192705 Enrollment ID: I20160901000078 |
| Provider Name | Lori E Hillard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790899532 PECOS PAC ID: 9032126388 Enrollment ID: I20161005000370 |
| Provider Name | Amy L Kasik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528204583 PECOS PAC ID: 2163710708 Enrollment ID: I20161013001339 |
| Provider Name | Rachael L Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659747665 PECOS PAC ID: 4385924109 Enrollment ID: I20161213000406 |
| Provider Name | Kathryn M Gillroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790120798 PECOS PAC ID: 0840576674 Enrollment ID: I20170411000533 |
| Provider Name | Meredith Gansner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659613008 PECOS PAC ID: 3971871252 Enrollment ID: I20170608002000 |
| Provider Name | Bonnie R Spicer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629508031 PECOS PAC ID: 1850662875 Enrollment ID: I20170809000446 |
| Provider Name | Ivana Lucero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467965020 PECOS PAC ID: 0840550307 Enrollment ID: I20180201002762 |
| Provider Name | Aileen Lorenzo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851706238 PECOS PAC ID: 0648530014 Enrollment ID: I20180202000694 |
| Provider Name | Priya Sehgal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316203409 PECOS PAC ID: 9234432006 Enrollment ID: I20180209001793 |
| Provider Name | Nicole Ilana Sussman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477997161 PECOS PAC ID: 0345559522 Enrollment ID: I20180222000623 |
| Provider Name | Elena Puppo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194084046 PECOS PAC ID: 3476814799 Enrollment ID: I20180301002397 |
| Provider Name | Rebecca C Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689127631 PECOS PAC ID: 5991084527 Enrollment ID: I20180314001074 |
| Provider Name | Karin K Lehr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992140669 PECOS PAC ID: 4688939507 Enrollment ID: I20180524001321 |
| Provider Name | Carla Ko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265946867 PECOS PAC ID: 3678828878 Enrollment ID: I20180612000592 |
| Provider Name | Chieu Hoang Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316495740 PECOS PAC ID: 9638453152 Enrollment ID: I20181106001650 |
| Provider Name | Beth Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255624391 PECOS PAC ID: 3870839020 Enrollment ID: I20190109002701 |
| Provider Name | Lauren K Vershon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326416173 PECOS PAC ID: 1850638941 Enrollment ID: I20190128002199 |
| Provider Name | Marjorie S Thomsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780169870 PECOS PAC ID: 9638417447 Enrollment ID: I20190220000985 |
| Provider Name | Jennifer M Krier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235533977 PECOS PAC ID: 6406198167 Enrollment ID: I20190429001322 |
| Provider Name | Erol I. Zeybekoglu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679814032 PECOS PAC ID: 8224370556 Enrollment ID: I20190507000228 |
| Provider Name | Mahesh B Jhangiani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407238223 PECOS PAC ID: 7911230917 Enrollment ID: I20190606000583 |
| Provider Name | Deborah B Slutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366792293 PECOS PAC ID: 3678800976 Enrollment ID: I20190808003760 |
| Provider Name | Susan L Kingston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497124895 PECOS PAC ID: 6406187533 Enrollment ID: I20191003003072 |
| Provider Name | Taixiang Saur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285296632 PECOS PAC ID: 9436481223 Enrollment ID: I20191028002995 |
| Provider Name | Amy K Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326447178 PECOS PAC ID: 5597198671 Enrollment ID: I20191203002247 |
| Provider Name | Jennifer M Sammarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346593530 PECOS PAC ID: 3274967898 Enrollment ID: I20200107000797 |
| Provider Name | Veronica Paris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669871349 PECOS PAC ID: 7810324035 Enrollment ID: I20200228001840 |
| Provider Name | Suzanne M Costas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881167955 PECOS PAC ID: 5890123871 Enrollment ID: I20200325003397 |
| Provider Name | Kenneth Martel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194075721 PECOS PAC ID: 0749601193 Enrollment ID: I20200610003023 |
| Provider Name | Anna J Kulmatiski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689047235 PECOS PAC ID: 1850701426 Enrollment ID: I20201110002471 |
| Provider Name | Rebecca Patt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083069421 PECOS PAC ID: 7517370117 Enrollment ID: I20201228000984 |
| Provider Name | Erika Drezner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992227094 PECOS PAC ID: 3577976851 Enrollment ID: I20210105002168 |
| Provider Name | Melissa Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376153494 PECOS PAC ID: 2264847649 Enrollment ID: I20210217000455 |
| Provider Name | Jenny M Swanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477072171 PECOS PAC ID: 3375958705 Enrollment ID: I20210217002767 |
| Provider Name | Katharine Sharby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134526684 PECOS PAC ID: 4981999505 Enrollment ID: I20210420001602 |
| Provider Name | Kristen M Silbo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558890830 PECOS PAC ID: 9133521784 Enrollment ID: I20210706001644 |
| Provider Name | Elizabeth Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174040109 PECOS PAC ID: 0143624080 Enrollment ID: I20210813002379 |
| Provider Name | Cory L. Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225606130 PECOS PAC ID: 7315345741 Enrollment ID: I20211014002603 |
| Provider Name | Justine Anne Follett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821623042 PECOS PAC ID: 2668860362 Enrollment ID: I20211029001371 |
| Provider Name | Leslie T Talmadge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114397320 PECOS PAC ID: 9032509393 Enrollment ID: I20211201001761 |
| Provider Name | Grace W Boronje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396413761 PECOS PAC ID: 8729478912 Enrollment ID: I20211202000028 |
| Provider Name | Alexandra O'malley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356927198 PECOS PAC ID: 3971994054 Enrollment ID: I20211228001056 |
| Provider Name | Mataiah I Crossely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891222501 PECOS PAC ID: 8224421581 Enrollment ID: I20220209000446 |
| Provider Name | Andrew J Shadrawy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801119821 PECOS PAC ID: 4587057849 Enrollment ID: I20220209000481 |
| Provider Name | Kara E Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194213538 PECOS PAC ID: 0446643712 Enrollment ID: I20220209000701 |
| Provider Name | Laurel Ms Gourville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972751188 PECOS PAC ID: 9032505326 Enrollment ID: I20220414000391 |
| Provider Name | Chelsey R Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669819546 PECOS PAC ID: 0547644411 Enrollment ID: I20220826002753 |
| Provider Name | Brian C O'keefe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972971455 PECOS PAC ID: 0547645301 Enrollment ID: I20220914001780 |
| Provider Name | Jaleesa J Freitas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700528635 PECOS PAC ID: 9436534195 Enrollment ID: I20220915002265 |
| Provider Name | Felicia S Falchuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073992210 PECOS PAC ID: 0840675062 Enrollment ID: I20220923000928 |
| Provider Name | Brianna E Lear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043791536 PECOS PAC ID: 0547645707 Enrollment ID: I20220923002481 |
| Provider Name | Christopher William Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548831274 PECOS PAC ID: 5991178725 Enrollment ID: I20230227001326 |
| Provider Name | Lynne M Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598415564 PECOS PAC ID: 0345613519 Enrollment ID: I20230309000608 |
| Provider Name | Dara C Concagh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467937524 PECOS PAC ID: 3971965708 Enrollment ID: I20230810003943 |
| Provider Name | Lane C Standige |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154085165 PECOS PAC ID: 4981067519 Enrollment ID: I20230830002393 |
| Provider Name | Erin E Emmanuel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285296558 PECOS PAC ID: 9032572664 Enrollment ID: I20230830002544 |
| Provider Name | Elyssa Granoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912599689 PECOS PAC ID: 5496103046 Enrollment ID: I20231121001445 |
| Provider Name | Kara Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982916904 PECOS PAC ID: 8123476694 Enrollment ID: I20231121002823 |
| Provider Name | Megan Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982074829 PECOS PAC ID: 1850749391 Enrollment ID: I20231122001260 |
| Provider Name | Katherine Blood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710239801 PECOS PAC ID: 5991153306 Enrollment ID: I20231127000115 |
| Provider Name | Erinma Anya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548994791 PECOS PAC ID: 5294183059 Enrollment ID: I20231205000638 |
| Provider Name | Jeanine M Gannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912618117 PECOS PAC ID: 0547619835 Enrollment ID: I20231212002505 |
| Provider Name | Kemper R Schumacher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093242273 PECOS PAC ID: 4587013891 Enrollment ID: I20231212003152 |
| Provider Name | Brandon Shea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972127785 PECOS PAC ID: 6507218476 Enrollment ID: I20240116002818 |
| Provider Name | Katelyn A Burke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720673361 PECOS PAC ID: 6204288186 Enrollment ID: I20240116003247 |
| Provider Name | Linda A Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649572025 PECOS PAC ID: 9931551728 Enrollment ID: I20240117002518 |
| Provider Name | William R Conti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578626024 PECOS PAC ID: 1951753623 Enrollment ID: I20240118000562 |
| Provider Name | Cynthia Scrimgeour |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619479417 PECOS PAC ID: 9234581836 Enrollment ID: I20240119000465 |
| Provider Name | Barbara E Britton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1144357534 PECOS PAC ID: 5597117119 Enrollment ID: I20240119000964 |
| Provider Name | David L Lankford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194255638 PECOS PAC ID: 4082066519 Enrollment ID: I20240119001496 |
| Provider Name | Heather C Day |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386954147 PECOS PAC ID: 9931551405 Enrollment ID: I20240119002807 |
| Provider Name | Andrew Golibersuch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225640204 PECOS PAC ID: 8527410950 Enrollment ID: I20240122000631 |
| Provider Name | Elizabeth A Bradley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326577974 PECOS PAC ID: 9739531179 Enrollment ID: I20240122000904 |
| Provider Name | Anthony J Bussolari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316476450 PECOS PAC ID: 8022460468 Enrollment ID: I20240122001176 |
| Provider Name | Emily K Woodward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710405956 PECOS PAC ID: 6800248253 Enrollment ID: I20240122001433 |
| Provider Name | Kathie Dalum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184305922 PECOS PAC ID: 3072965425 Enrollment ID: I20240122001447 |
| Provider Name | Eric L Liberti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689100604 PECOS PAC ID: 4486006848 Enrollment ID: I20240122001647 |
| Provider Name | Sarah Covington Paulsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285151811 PECOS PAC ID: 9234581638 Enrollment ID: I20240122003013 |
| Provider Name | Ryan Rivard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316240740 PECOS PAC ID: 8921450206 Enrollment ID: I20240123001526 |
| Provider Name | Emily A Bliss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619240728 PECOS PAC ID: 9931551157 Enrollment ID: I20240123003322 |
| Provider Name | Chika Ugwumba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447823570 PECOS PAC ID: 4385096528 Enrollment ID: I20240123003794 |
| Provider Name | Michelle Kennedy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992210744 PECOS PAC ID: 2860844024 Enrollment ID: I20240123004493 |
| Provider Name | Willmin Jacqueline Aug |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467891374 PECOS PAC ID: 1557714706 Enrollment ID: I20240124002851 |
| Provider Name | Valeria F Barrett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659556595 PECOS PAC ID: 4082067251 Enrollment ID: I20240124003618 |
| Provider Name | Lisa A Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134713407 PECOS PAC ID: 5890148977 Enrollment ID: I20240124004071 |
| Provider Name | William L Rollins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700320793 PECOS PAC ID: 9931552015 Enrollment ID: I20240124004231 |
| Provider Name | Stephanie E Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306002043 PECOS PAC ID: 1557714102 Enrollment ID: I20240130002842 |
| Provider Name | Ana M Hernandez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1174904296 PECOS PAC ID: 3870946262 Enrollment ID: I20240201002667 |
| Provider Name | Jean K Rossner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144349093 PECOS PAC ID: 1951744820 Enrollment ID: I20240207002813 |
| Provider Name | Hillary P. Rioux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720211246 PECOS PAC ID: 3678916129 Enrollment ID: I20240212002775 |
| Provider Name | Judith M Locke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942304688 PECOS PAC ID: 6608219167 Enrollment ID: I20240212003056 |
| Provider Name | William B Dwinnells |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003980665 PECOS PAC ID: 6507209061 Enrollment ID: I20240212003098 |
| Provider Name | Julieta R Lopez Teran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407304751 PECOS PAC ID: 7911340484 Enrollment ID: I20240212003262 |
| Provider Name | Lori A Mackenzie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336317932 PECOS PAC ID: 0345684734 Enrollment ID: I20240213003535 |
| Provider Name | Gail B Shulman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740497361 PECOS PAC ID: 4688018088 Enrollment ID: I20240213004062 |
Mary C. Tarvin, Licsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Walpole St, Suite 1, Norwood, MA 02062 Phone: 781-414-2247 Fax: 781-352-3996 | |
Wellcare Physicians Group, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Morse St, Norwood, MA 02062 Phone: 781-769-8700 Fax: 781-769-8704 | |
Caritas Norwood Hospital-psychiatry-impatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Norwood, MA 02062 Phone: 781-769-4000 Fax: 617-562-5415 | |
Suburban Psychiatric Specialists Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Boston Providence Tpke Ste 22b, Norwood, MA 02062 Phone: 508-206-8578 | |
Doctor Popat Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Rock St, Norwood, MA 02062 Phone: 774-254-3861 | |
Insightful Resolutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Heaton Ave, Norwood, MA 02062 Phone: 781-680-5679 | |
Patriot Elder Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Walpole St, Norwood, MA 02062 Phone: 508-246-6493 |