| Shoreline Counseling, Llc | |
|
99 Derby St Ste 200 Hingham MA 02043-4216 | |
| (781) 269-1226 | |
| Not Available |
| Full Name | Shoreline Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 99 Derby St Ste 200, Hingham, Massachusetts |
| Authorized Official Name and Position | Vanessa Boyington (OWNER) |
| Authorized Official Contact | 7812691226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Counseling, Llc 99 Derby St Ste 200 Hingham MA 02043-4216 Ph: (781) 269-1226 | Shoreline Counseling, Llc 99 Derby St Ste 200 Hingham MA 02043-4216 Ph: (781) 269-1226 |
| NPI Number | 1679210884 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Medicare PECOS PAC ID | 5799213427 |
|---|---|
| Medicare Enrollment ID | O20250109000859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679210884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vanessa M Boyington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881149680 PECOS PAC ID: 5698062800 Enrollment ID: I20160930001628 |
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