| Dr Mary Ellen Henry, PHD,LICSW | |
|
50 Commercial St, Provincetown, MA 02657-1912 | |
| (508) 487-2698 | |
| Not Available |
| Full Name | Dr Mary Ellen Henry |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 50 Commercial St, Provincetown, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659415396 | NPI | - | NPPES |
| P07319 | Other | MA | BLUE CROSS PROVIDER NUMBE |
| 1858483 | Other | MA | MASSHEALTH PROVIDER NUMBE |
| 1894862 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1028357 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Ellen Henry, PHD,LICSW 50 Commercial St, Provincetown, MA 02657-1912 Ph: (508) 487-2698 | Dr Mary Ellen Henry, PHD,LICSW 50 Commercial St, Provincetown, MA 02657-1912 Ph: (508) 487-2698 |
Joseph Thomas Demartino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 68 Franklin St, Provincetown, MA 02657 Phone: 508-272-5843 | |
Joanne Gaffney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 Commercial St, Provincetown, MA 02657 Phone: 617-548-9913 | |
Mr. Michael M Burke, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 237 Commercial St, Provincetown, MA 02657 Phone: 508-487-8300 Fax: 508-487-8301 | |
Mr. Brian J Sheerin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 219 Commercial St # 1617, Provincetown, MA 02657 Phone: 914-610-0934 | |
Amy D. Wolf, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 49 Harry Kemp Way, Outer Cape Health Services, Provincetown, MA 02657 Phone: 508-487-9395 Fax: 508-487-3285 |