| Suzanne C. Kearney Licsw, Inc. | |
|
38 Colonial Ave Newton MA 02460-1215 | |
| (617) 413-6711 | |
| (617) 332-7991 |
| Full Name | Suzanne C. Kearney Licsw, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 38 Colonial Ave, Newton, Massachusetts |
| Authorized Official Name and Position | Suzanne C. Kearney (CLINICIAN) |
| Authorized Official Contact | 6174136711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne C. Kearney Licsw, Inc. 38 Colonial Ave Newton MA 02460-1215 Ph: (617) 413-6711 | Suzanne C. Kearney Licsw, Inc. 38 Colonial Ave Newton MA 02460-1215 Ph: (617) 413-6711 |
| NPI Number | 1073159521 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 11/20/2019 |
| Medicare PECOS PAC ID | 3375979693 |
|---|---|
| Medicare Enrollment ID | O20200205001803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073159521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Suzanne C Kearney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992863203 PECOS PAC ID: 6507883691 Enrollment ID: I20051027001126 |
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