| Woosource LLC | |
|
68 Harrison Ave Ste 605 Boston MA 02111-1929 | |
| (508) 969-3818 | |
| Not Available |
| Full Name | Woosource LLC |
|---|---|
| Speciality | Social Worker |
| Location | 68 Harrison Ave Ste 605, Boston, Massachusetts |
| Authorized Official Name and Position | Enmanuel Feliz (OWNER) |
| Authorized Official Contact | 8177360400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woosource LLC 68 Harrison Ave Ste 605 Boston MA 02111-1929 Ph: (508) 500-6720 | Woosource LLC 68 Harrison Ave Ste 605 Boston MA 02111-1929 Ph: (508) 969-3818 |
| NPI Number | 1306697784 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 09/02/2025 |
| Certification Date | 09/02/2025 |
| Medicare PECOS PAC ID | 5890136352 |
|---|---|
| Medicare Enrollment ID | O20240515000724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306697784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Jason Czernich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336588169 PECOS PAC ID: 8729469994 Enrollment ID: I20220719002273 |
| Provider Name | Enmanuel Feliz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902490170 PECOS PAC ID: 2163897711 Enrollment ID: I20230412001864 |
| Provider Name | Lizmarie Peralta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023682549 PECOS PAC ID: 9638519028 Enrollment ID: I20240502001290 |
| Provider Name | Roberto Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487357232 PECOS PAC ID: 9032684899 Enrollment ID: I20260409000055 |
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