Debra Boudreau, LCSW | |
126 President Ave, Fall River, MA 02720-2649 | |
(774) 218-5440 | |
Not Available |
Full Name | Debra Boudreau |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 126 President Ave, Fall River, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386227718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Massachusetts) | Primary |
Entity Name | Supportive Behavioral Care Of Ma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
Mailing Address | Practice Location Address |
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Debra Boudreau, LCSW 223 Hot And Cold Ln, Somerset, MA 02726-2426 Ph: (508) 667-2221 | Debra Boudreau, LCSW 126 President Ave, Fall River, MA 02720-2649 Ph: (774) 218-5440 |
Mrs. Marci Lynn Langevin, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 386 Stanley St, Fall River, MA 02720 Phone: 508-679-5222 Fax: 508-676-5671 | |
Ms. Raechel Anne Mcghee, LICSW, BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4 Hartwell St, Suite 306, Fall River, MA 02721 Phone: 508-677-2399 Fax: 508-678-3300 | |
Ms. Marian Louise Pierce, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 49 Hillside St, Fall River, MA 02720 Phone: 508-235-7256 Fax: 508-235-7345 | |
Mr. Edward John Costa, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 879 N Main St, Fall River, MA 02720 Phone: 508-672-4237 | |
Mrs. Desiree Gillpatrick, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 795 Middle St, Fall River, MA 02721 Phone: 508-674-5600 Fax: 508-235-5009 | |
Ms. Bridget Lynn Gonneville, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 66 Troy St, Fall River, MA 02720 Phone: 508-676-5708 Fax: 508-676-1948 | |
Katherine Marie Kasheta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 151 Rock St, Fall River, MA 02720 Phone: 508-678-7542 |