| The Empowerment Practice, Pllc | |
|
867 Boylston Street 5th Fl. Ste. 1930 Boston MA 02116-2774 | |
| (617) 383-7309 | |
| (617) 977-5595 |
| Full Name | The Empowerment Practice, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 867 Boylston Street, Boston, Massachusetts |
| Authorized Official Name and Position | Ginnelle Vasquez (OWNER) |
| Authorized Official Contact | 6173837309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Empowerment Practice, Pllc 867 Boylston Street 5th Fl. Ste. 1930 Boston MA 02116-2774 Ph: (617) 383-7309 | The Empowerment Practice, Pllc 867 Boylston Street 5th Fl. Ste. 1930 Boston MA 02116-2774 Ph: (617) 383-7309 |
| NPI Number | 1386443893 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 3971028663 |
|---|---|
| Medicare Enrollment ID | O20250415002250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386443893 | NPI | - | NPPES |
| Provider Name | Ginnelle Vasquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700303088 PECOS PAC ID: 4880119577 Enrollment ID: I20250415002355 |
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