Daisy Leon, | |
1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | |
(508) 521-2287 | |
Not Available |
Full Name | Daisy Leon |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1115 W Chestnut St Ste 101, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598113920 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | South Bay Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023096864 PECOS PAC ID: 5395797310 Enrollment ID: O20050217000395 |
Entity Name | Sb Transitional Sub Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
Mailing Address | Practice Location Address |
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Daisy Leon, Po Box 2143, Meriden, CT 06450-1243 Ph: () - | Daisy Leon, 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 Ph: (508) 521-2287 |
Mrs. Trinette Stephenson Hall, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Belcher Ave, Brockton, MA 02301 Phone: 781-774-0273 | |
Jennifer Lynn Sharkansky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977 | |
Maryellen Mcgrath-howie, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8325 | |
Laura Ann Uribe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 Main St Fl 3, Brockton, MA 02301 Phone: 508-586-2660 | |
Mark Jacob Longsjo, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8320 Fax: 508-894-8334 | |
Ruth Zakarin, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 Belmont St, Brockton, MA 02301 Phone: 508-583-6498 | |
Felipe Durand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2100 Fax: 508-897-2135 |