Miss Nike Konstantina Gregory, LICSW is a
Counselor - Mental Health based in Medford, Massachusetts. Miss Nike Konstantina Gregory is licensed to practice in * (Not Available) (license number ) and her current practice location is
42 Thomas St, Medford, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(978) 476-3708.
NPI number for Miss Nike Konstantina Gregory is 1376867556 and her current mailing address is 42 Thomas St, Medford, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376867556.
Healthcare Provider's Profile
Full Name | Miss Nike Konstantina Gregory |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 42 Thomas St, Medford, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376867556
- Provider Enumeration Date: 03/17/2010
- Last Update Date: 03/09/2022
Medical Identifiers
Medical identifiers for Miss Nike Konstantina Gregory such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376867556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 123330 (Massachusetts) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Nike Konstantina Gregory is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Nike Konstantina Gregory, LICSW 42 Thomas St, Medford, MA 02155-4536 Ph: (978) 476-3708 | Miss Nike Konstantina Gregory, LICSW 42 Thomas St, Medford, MA 02155-4536 Ph: (978) 476-3708 |
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