| Leah Pedevillano, | |
|
14 Vernon St, Newburyport, MA 01950-3920 | |
| (203) 305-7839 | |
| Not Available |
| Full Name | Leah Pedevillano |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 14 Vernon St, Newburyport, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790208601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 124074 (Massachusetts) | Primary |
| Entity Name | Tmin Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225734262 PECOS PAC ID: 0840657862 Enrollment ID: O20230607001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Pedevillano, 12 Adam Walker Dr, Greenville, SC 29607-4509 Ph: (203) 305-7839 | Leah Pedevillano, 14 Vernon St, Newburyport, MA 01950-3920 Ph: (203) 305-7839 |
Melinda Grey Crossman, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 28 Green St, The Carriage House, Newburyport, MA 01950 Phone: 978-270-3736 | |
Richard J Healy, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 143 State St, Newburyport, MA 01950 Phone: 978-462-2890 Fax: 978-462-2890 | |
Susan M Vanetten, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23 Green St, Newburyport, MA 01950 Phone: 978-891-0264 | |
Mr. Bruce Edward Deveau, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 42 Pleasant St, Suite 7, Newburyport, MA 01950 Phone: 978-462-3287 Fax: 978-462-3287 | |
Liza P Brackbill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Low St Ste 302, Newburyport, MA 01950 Phone: 978-222-3121 | |
Bronson Destadler, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 143 State St, Newburyport, MA 01950 Phone: 978-462-2890 Fax: 978-462-2890 | |
Barbara Allen Keeler, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Merrimac St, Suite 17, Newburyport, MA 01950 Phone: 978-465-6585 Fax: 978-465-9498 |