Mr Andrew Velasquez, | |
152 Lynnway Ste 2c, Lynn, MA 01902-3420 | |
(617) 982-3996 | |
Not Available |
Full Name | Mr Andrew Velasquez |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 152 Lynnway Ste 2c, Lynn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346523099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 120233 (Massachusetts) | Primary |
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
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Mr Andrew Velasquez, 50 E Squantum St Apt 25a, Quincy, MA 02171-2278 Ph: (617) 642-9538 | Mr Andrew Velasquez, 152 Lynnway Ste 2c, Lynn, MA 01902-3420 Ph: (617) 982-3996 |
Ms. Wendy Fay Gillenson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 95 Pleasant St, Lynn, MA 01901 Phone: 781-581-4400 | |
Ms. Sarah Catherine Eilers, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 269 Union St, Lynn, MA 01901 Phone: 781-477-7222 | |
Melanie Solomon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 N Common St, Lynn, MA 01902 Phone: 781-598-2759 | |
Grace Bonaiuto, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 90 Ocallaghan Way, Lynn, MA 01905 Phone: 781-598-0287 | |
Mrs. Maylene Victoria Collado-wulff, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Central Ave, Lynn, MA 01901 Phone: 781-586-6691 | |
Keisha Larosa, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 City Hall Sq, Frc, Lynn, MA 01901 Phone: 339-883-2401 | |
Taylor Alyson Kurmis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 Green St, Lynn, MA 01902 Phone: 781-593-9434 Fax: 781-691-7034 |