Jill Ortolano, | |
77b Warren St, Brighton, MA 02135-3601 | |
(617) 787-1901 | |
(617) 254-3461 |
Full Name | Jill Ortolano |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 77b Warren St, Brighton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851601298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20220826002724 |
Mailing Address | Practice Location Address |
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Jill Ortolano, 77b Warren St, Brighton, MA 02135-3601 Ph: () - | Jill Ortolano, 77b Warren St, Brighton, MA 02135-3601 Ph: (617) 787-1901 |
Katie Wynen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461 | |
Katherine Plapinger, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461 | |
Alex Eduardo Santos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-955-1564 | |
Alice Freeman Goodrich, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-779-1685 | |
Kyle Megrath, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461 | |
Michael Okeefe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461 | |
Trevor Sullivan-smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 77b Warren St, Brighton, MA 02135 Phone: 617-787-1901 Fax: 617-254-3461 |