Caleb Brooks, | |
105 Webster St Ste 5, Hanover, MA 02339-1227 | |
(901) 264-3704 | |
Not Available |
Full Name | Caleb Brooks |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 105 Webster St Ste 5, Hanover, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851927511 | NPI | - | NPPES |
12159 | Other | TN | COMMERCIAL INSURANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12159 (Tennessee) | Secondary |
1041C0700X | Social Worker - Clinical | 126946 (Massachusetts) | Primary |
Entity Name | Keystone Healthcare Systems Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992417018 PECOS PAC ID: 8022550078 Enrollment ID: O20240606000944 |
Mailing Address | Practice Location Address |
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Caleb Brooks, 105 Webster St Ste 5, Hanover, MA 02339-1227 Ph: (901) 264-3704 | Caleb Brooks, 105 Webster St Ste 5, Hanover, MA 02339-1227 Ph: (901) 264-3704 |
Kim Kelly Harriman, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 135 Webster St, Hanover, MA 02339 Phone: 781-982-9790 | |
Mrs. Susan Elizabeth Gallagher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 222 Webster Street, Hanover, MA 02339 Phone: 781-878-8340 | |
Carter Paul, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 135 Webster St, Hanover, MA 02339 Phone: 781-429-7755 | |
Victoria Long, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Webster St, Hanover, MA 02339 Phone: 781-429-7755 | |
Ryan Campbell, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 135 Webster St Ste 1, Hanover, MA 02339 Phone: 781-449-1143 | |
Erin Lee Rindfuss, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 Webster St, Hanover, MA 02339 Phone: 781-429-7755 | |
Jennifer C. Lapointe, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 90 Rockland St, Ste 1, Hanover, MA 02339 Phone: 781-635-5663 |