Miss Kimberly Ann Banovic, LCSW | |
460 Quincy Ave, Quincy, MA 02169-8130 | |
(617) 689-2532 | |
Not Available |
Full Name | Miss Kimberly Ann Banovic |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 460 Quincy Ave, Quincy, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386664142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 213532 (Massachusetts) | Primary |
Entity Name | Dothouse Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578514733 PECOS PAC ID: 8729991021 Enrollment ID: O20031112000264 |
Entity Name | Tmin Services Inc |
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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 |
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Miss Kimberly Ann Banovic, LCSW 460 Quincy Ave, Quincy, MA 02169-8130 Ph: () - | Miss Kimberly Ann Banovic, LCSW 460 Quincy Ave, Quincy, MA 02169-8130 Ph: (617) 689-2532 |
Elizabeth Robinson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44 Shea St, Quincy, MA 02169 Phone: 612-568-6151 | |
Arielle Stockbridge, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Lincoln Ave, Quincy, MA 02170 Phone: 781-733-7171 | |
John Loren Grillo, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1266 Furnace Brook Pkwy Ste 307, Quincy, MA 02169 Phone: 857-234-8059 | |
Rachel Sonia John, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 625 Thomas Burgin Pkwy Apt 419, Quincy, MA 02169 Phone: 215-776-1726 | |
Ms. Elissa Richmond Zonis, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1261 Furnace Brook Pkwy, Suite 31, Quincy, MA 02169 Phone: 617-479-4545 | |
Mrs. Kendra L Burke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 Temple St, Quincy, MA 02169 Phone: 617-471-8400 | |
Mark David Norton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 460 Quincy Ave, South Shore Mental Health, Quincy, MA 02169 Phone: 616-689-2560 |