| Rollins Counseling Center Llc | |
|
70 Broadway St Westford MA 01886-2148 | |
| (978) 337-3676 | |
| Not Available |
| Full Name | Rollins Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 70 Broadway St, Westford, Massachusetts |
| Authorized Official Name and Position | Kerry Rollins (MANAGER/OWNER) |
| Authorized Official Contact | 9783373676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rollins Counseling Center Llc 9 Diamond St Tyngsboro MA 01879-1941 Ph: (978) 337-3676 | Rollins Counseling Center Llc 70 Broadway St Westford MA 01886-2148 Ph: (978) 337-3676 |
| NPI Number | 1083220206 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 09/22/2020 |
| Certification Date | 09/22/2020 |
| Medicare PECOS PAC ID | 8426460908 |
|---|---|
| Medicare Enrollment ID | O20201208001412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083220206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolinda S Sterczala |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033186424 PECOS PAC ID: 8527088848 Enrollment ID: I20051201000690 |
| Provider Name | Kerry Rollins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588890073 PECOS PAC ID: 5193869287 Enrollment ID: I20100212000135 |
| Provider Name | Bradford C Parmenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407043284 PECOS PAC ID: 9638494495 Enrollment ID: I20150219000861 |
| Provider Name | Danielle Desisto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518459247 PECOS PAC ID: 6507279619 Enrollment ID: I20210111001136 |
| Provider Name | Cynthia Isaacs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649751272 PECOS PAC ID: 5991195943 Enrollment ID: I20211206001221 |
| Provider Name | Kellsey Rebecca Forest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639671167 PECOS PAC ID: 4789077371 Enrollment ID: I20220202002824 |
| Provider Name | Nicole Jean Dell'erario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760044739 PECOS PAC ID: 0446632889 Enrollment ID: I20220802003154 |
| Provider Name | Janielle Joliat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194319426 PECOS PAC ID: 0345696688 Enrollment ID: I20231024000616 |
| Provider Name | Khristan Shields-latulippe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346774254 PECOS PAC ID: 6406206879 Enrollment ID: I20231227001930 |
| Provider Name | Theodore Dobbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871219055 PECOS PAC ID: 7416391511 Enrollment ID: I20240216001628 |
| Provider Name | Linda J. Rawlings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063553162 PECOS PAC ID: 9335583459 Enrollment ID: I20240216002319 |
| Provider Name | Paul Avolese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114543428 PECOS PAC ID: 5597100743 Enrollment ID: I20240228001238 |
| Provider Name | Kathleen Waite |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174992424 PECOS PAC ID: 2365888344 Enrollment ID: I20240313000503 |
| Provider Name | Ashley Lees |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871027342 PECOS PAC ID: 5092153890 Enrollment ID: I20240328003606 |
| Provider Name | Shannon L Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720414238 PECOS PAC ID: 4284073768 Enrollment ID: I20240416004338 |
| Provider Name | Jessica Dalzell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093472888 PECOS PAC ID: 9234673609 Enrollment ID: I20240627000683 |
| Provider Name | Kathleen Uwakwe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023708328 PECOS PAC ID: 9830630193 Enrollment ID: I20240926001581 |
| Provider Name | Paige Augusta Suse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073256715 PECOS PAC ID: 2264964246 Enrollment ID: I20241015003388 |
| Provider Name | Marcie Lieberman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861988693 PECOS PAC ID: 1850823469 Enrollment ID: I20241021000312 |
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