Alice J Kim, LICSW | |
101 Main St, Suite 112, Medford, MA 02155-4540 | |
(781) 338-7270 | |
(781) 396-5086 |
Full Name | Alice J Kim |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 101 Main St, Medford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184632663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 111412 (Massachusetts) | Primary |
Entity Name | President & Fellows Of Harvard College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952366312 PECOS PAC ID: 2062303894 Enrollment ID: O20040322001750 |
Entity Name | Melrosewakefield Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841290467 PECOS PAC ID: 8224935838 Enrollment ID: O20040504000734 |
Mailing Address | Practice Location Address |
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Alice J Kim, LICSW 101 Main St, Suite 112, Medford, MA 02155-4540 Ph: (781) 338-7270 | Alice J Kim, LICSW 101 Main St, Suite 112, Medford, MA 02155-4540 Ph: (781) 338-7270 |
Charlotte Jamar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Grove St, Medford, MA 02155 Phone: 781-648-6053 | |
Deborah Herzog, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 High St Ste 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564 | |
Mr. Howard David Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 Park St - Apt. 2, Medford, MA 02155 Phone: 781-395-7374 | |
Mrs. Kerri Anne Dewolf, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-306-6157 Fax: 781-306-6146 | |
Alexandra Jane Kennedy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Washington St, Medford, MA 02155 Phone: 413-464-3067 | |
Mr. William Frank Scalise, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 High St, Suite 2a, Medford, MA 02155 Phone: 781-393-0009 Fax: 781-395-2909 | |
Sarah Evans, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 High St, Suite 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564 |