Catherine B Theriault, | |
25 James Oneill St, South Boston, MA 02127-4504 | |
(617) 534-9500 | |
(617) 534-9515 |
Full Name | Catherine B Theriault |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 25 James Oneill St, South Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457808263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 122393 (Massachusetts) | Primary |
Entity Name | Boston Public Health Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063431492 PECOS PAC ID: 2365571650 Enrollment ID: O20130920000096 |
Mailing Address | Practice Location Address |
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Catherine B Theriault, 1010 Massachusetts Ave, Boston, MA 02118-2600 Ph: (617) 534-3134 | Catherine B Theriault, 25 James Oneill St, South Boston, MA 02127-4504 Ph: (617) 534-9500 |
Mr. Daniel T Sullivan, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 | |
Matthew P Conti, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St, South Boston, MA 02127 Phone: 617-534-9516 | |
John Augustus Northridge, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Mrs. Patricia Shen, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Athens St, South Boston, MA 02127 Phone: 617-823-5350 | |
Paul Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 W Broadway, South Boston, MA 02127 Phone: 617-464-8571 | |
Mrs. Mary Elizabeth Kelleher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Elizabeth Hamilton Barney, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 W Broadway, South Boston, MA 02127 Phone: 617-268-9670 |