| Something Different Clinical Services Pllc | |
|
94 N Elm St Ste 301a Westfield MA 01085-1641 | |
| (413) 271-7309 | |
| Not Available |
| Full Name | Something Different Clinical Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 94 N Elm St Ste 301a, Westfield, Massachusetts |
| Authorized Official Name and Position | Christine J Edwards (OWNER/ORGANIZER) |
| Authorized Official Contact | 4132717309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Something Different Clinical Services Pllc 94 N Elm St Ste 301a Westfield MA 01085-1641 Ph: (413) 271-7309 | Something Different Clinical Services Pllc 94 N Elm St Ste 301a Westfield MA 01085-1641 Ph: (413) 271-7309 |
| NPI Number | 1669280087 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 6406379056 |
|---|---|
| Medicare Enrollment ID | O20250325001474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669280087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christine J Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659427045 PECOS PAC ID: 1254439748 Enrollment ID: I20081114000593 |
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