John B Carven Iii, LICSW | |
55 Dimock St. Richards Building, Roxbury, MA 02119-2667 | |
(617) 442-8800 | |
Not Available |
Full Name | John B Carven Iii |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 55 Dimock St. Richards Building, 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 |
---|---|---|---|
1871628115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 113780 (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 |
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John B Carven Iii, LICSW 10 Garrison Ave Apt 4, Somerville, MA 02144-1737 Ph: (617) 259-0676 | John B Carven Iii, LICSW 55 Dimock St. Richards Building, Roxbury, MA 02119-2667 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 |