John Augustus Northridge, LICSW | |
58 Old Colony Ave, South Boston, MA 02127-2406 | |
(617) 268-1700 | |
(617) 268-1991 |
Full Name | John Augustus Northridge |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 46 Years |
Location | 58 Old Colony Ave, South Boston, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174586168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 105237 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health And Human Services Llc | 8729311840 | 3 |
Entity Name | Tufts Medical Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730132515 PECOS PAC ID: 3274442223 Enrollment ID: O20050120000316 |
Entity Name | Health And Human Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164085080 PECOS PAC ID: 8729311840 Enrollment ID: O20190605000430 |
Mailing Address | Practice Location Address |
---|---|
John Augustus Northridge, LICSW 11 Orchard Rd, Weymouth, MA 02190-1636 Ph: (781) 335-6104 | John Augustus Northridge, LICSW 58 Old Colony Ave, South Boston, MA 02127-2406 Ph: (617) 268-1700 |
Mr. Daniel T Sullivan, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 | |
Matthew P Conti, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St, South Boston, MA 02127 Phone: 617-534-9516 | |
Mrs. Patricia Shen, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Athens St, South Boston, MA 02127 Phone: 617-823-5350 | |
Paul Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 W Broadway, South Boston, MA 02127 Phone: 617-464-8571 | |
Mrs. Mary Elizabeth Kelleher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Elizabeth Hamilton Barney, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 W Broadway, South Boston, MA 02127 Phone: 617-268-9670 |