Elaine Lebel, | |
45 Dimock St, Roxbury, MA 02119-1208 | |
(617) 442-8800 | |
(617) 442-4088 |
Full Name | Elaine Lebel |
---|---|
Gender | Female |
Speciality | Social Worker |
Location | 45 Dimock St, Roxbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770121634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
104100000X | Social Worker | 226687 (Massachusetts) | Primary |
Entity Name | Dimock Community Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326193269 PECOS PAC ID: 4385677038 Enrollment ID: O20050914000391 |
Mailing Address | Practice Location Address |
---|---|
Elaine Lebel, 55 Dimock St, Roxbury, MA 02119-1029 Ph: () - | Elaine Lebel, 45 Dimock St, Roxbury, MA 02119-1208 Ph: (617) 442-8800 |
Larry Higginbottom, MSW / LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 184 Dudley St, Suite 107 Ll, Roxbury, MA 02119 Phone: 617-442-2002 Fax: 617-442-4002 | |
Ms. Nia-sue Mitchum, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3 Aspen St, Roxbury, MA 02119 Phone: 617-427-3312 | |
Ms. Ebonee Troup, BS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-690-9701 | |
Ivelisse Vazquez, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Dimock St, Room 266a, Roxbury, MA 02119 Phone: 617-442-8800 Fax: 617-541-8472 | |
Catherine Egan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1290 Tremont St, Behavioral Health, Roxbury, MA 02120 Phone: 617-989-3362 Fax: 617-989-3227 | |
Mrs. Misgana Tsgaye Sirmollo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 520 Dudley St, Roxbury, MA 02119 Phone: 617-445-6655 | |
Ashley Correia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-442-8800 |