Lisa M Wall, LICSW, CADC-II | |
120 Dunphy Drive, Northampton, MA 01062-9602 | |
(413) 230-2530 | |
(413) 327-9523 |
Full Name | Lisa M Wall |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 120 Dunphy Drive, Northampton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366758203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 122526 (Massachusetts) | Primary |
Entity Name | Lmwall, Licsw, Cadc-ii, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235754037 PECOS PAC ID: 3173949559 Enrollment ID: O20200817000171 |
Mailing Address | Practice Location Address |
---|---|
Lisa M Wall, LICSW, CADC-II 120 Dunphy Dr, Northampton, MA 01062-9602 Ph: (413) 320-1751 | Lisa M Wall, LICSW, CADC-II 120 Dunphy Drive, Northampton, MA 01062-9602 Ph: (413) 230-2530 |
Ms. Judith Wolf, M.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15 Maynard Rd, Northampton, MA 01060 Phone: 413-320-1260 | |
Laura Bradley Friedland-kays, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, Northampton, MA 01060 Phone: 413-773-1314 | |
Miss Hannah Mary Josephine Berard, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, Northampton, MA 01060 Phone: 413-773-1314 | |
Dana Blackburn, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43 Center St, Suite 204, Northampton, MA 01060 Phone: 413-584-1766 | |
Mark Horwitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31 Trumbull Rd, Northampton, MA 01060 Phone: 413-586-1823 Fax: 413-586-1823 | |
Ellen Lois Goldsmith, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 King St Ste 203, Northampton, MA 01060 Phone: 413-586-4065 | |
Ms. Laura Beck, L.C.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Servicenet, 50 Pleasant St, Northampton, MA 01060 Phone: 413-584-6855 |