Kevin Keiley, LICSW | |
165 Quincy St, Brockton, MA 02302-2988 | |
(508) 897-2100 | |
(508) 586-5117 |
Full Name | Kevin Keiley |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 165 Quincy St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548365398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1027545 (Massachusetts) | Primary |
Entity Name | The Commonwealth Of Massachusetts |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326155458 PECOS PAC ID: 8820906860 Enrollment ID: O20050203000148 |
Mailing Address | Practice Location Address |
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Kevin Keiley, LICSW 165 Quincy St, Brockton, MA 02302-2988 Ph: (508) 897-2100 | Kevin Keiley, LICSW 165 Quincy St, Brockton, MA 02302-2988 Ph: (508) 897-2100 |
Mrs. Trinette Stephenson Hall, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Belcher Ave, Brockton, MA 02301 Phone: 781-774-0273 | |
Jennifer Lynn Sharkansky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Pleasant St, Brockton, MA 02301 Phone: 508-586-5977 | |
Maryellen Mcgrath-howie, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8325 | |
Laura Ann Uribe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 231 Main St Fl 3, Brockton, MA 02301 Phone: 508-586-2660 | |
Mark Jacob Longsjo, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Mclean Hospital Southeast Location, 940 Belmont Street, Brockton, MA 02301 Phone: 508-894-8320 Fax: 508-894-8334 | |
Ruth Zakarin, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9 Belmont St, Brockton, MA 02301 Phone: 508-583-6498 | |
Felipe Durand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Quincy St, Brockton, MA 02302 Phone: 508-897-2100 Fax: 508-897-2135 |