Brian Ronald Melanson, MED, LICSW | |
159b Montague Rd, Leverett, MA 01054-9762 | |
(978) 618-0434 | |
Not Available |
Full Name | Brian Ronald Melanson |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 159b Montague Rd, Leverett, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710611652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | LICSW127225 (Massachusetts) | Primary |
Entity Name | Center For Human Development, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912099219 PECOS PAC ID: 7618950874 Enrollment ID: O20041129000514 |
Mailing Address | Practice Location Address |
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Brian Ronald Melanson, MED, LICSW 159b Montague Rd, Leverett, MA 01054-9762 Ph: (978) 618-0434 | Brian Ronald Melanson, MED, LICSW 159b Montague Rd, Leverett, MA 01054-9762 Ph: (978) 618-0434 |
Ms. Laurie Lee Lassiter, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 227 Montague Rd, Leverett, MA 01054 Phone: 413-548-9904 | |
Judith Samuels Fonsh, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Long Hill Rd, Leverett, MA 01054 Phone: 413-548-9053 | |
Scott Roman Hartblay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Long Hill Rd, Leverett, MA 01054 Phone: 413-695-7274 | |
Ms. Joyce Anne Joseph, LICSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77 Long Hill Rd, Leverett, MA 01054 Phone: 301-520-3896 Fax: 877-803-2405 | |
Ms. Kathleen Mary Winkworth, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 128 Shutesbury Rd, Leverett, MA 01054 Phone: 413-548-9566 |