Mackenzie P Adell, LICSW | |
360 Merrimack St, Lawrence, MA 01843-1740 | |
(978) 688-4901 | |
Not Available |
Full Name | Mackenzie P Adell |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 360 Merrimack St, Lawrence, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679988208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 123088 (Massachusetts) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Northeast Behavioral Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154302586 PECOS PAC ID: 0446155808 Enrollment ID: O20100817000286 |
Mailing Address | Practice Location Address |
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Mackenzie P Adell, LICSW 1115 W Chestnut St, Brockton, MA 02301-7501 Ph: (508) 580-4691 | Mackenzie P Adell, LICSW 360 Merrimack St, Lawrence, MA 01843-1740 Ph: (978) 688-4901 |
Mrs. Rocio Del Pilar Camargo-ruiz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 General St, Lawrence, MA 01840 Phone: 978-620-1250 | |
John Francis Didio, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 599 Canal St, Ste 1 East, Lawrence, MA 01840 Phone: 978-686-8202 | |
Erick Banuelos, M.A., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 73d Winthrop Ave, Lawrence, MA 01843 Phone: 978-686-0090 | |
Ms. Jamie King, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12 Methuen St, Lawrence, MA 01840 Phone: 978-587-1998 | |
Dorothy Duval, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 439 S Union St, Suite 203b, Lawrence, MA 01843 Phone: 978-687-5852 Fax: 978-687-5857 | |
John Zielin, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 430 N Canal St, Family Service, Inc., Lawrence, MA 01840 Phone: 978-683-9505 | |
Kristina O'toole-montgomery, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 439 S Union St, Building #1 Suite #110, Lawrence, MA 01843 Phone: 978-688-5070 |