Mr Cori Jamal Williams, LICSW | |
7 Cabot Pl Ste 3b, Stoughton, MA 02072-4631 | |
(857) 227-9101 | |
(833) 553-4120 |
Full Name | Mr Cori Jamal Williams |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 7 Cabot Pl Ste 3b, Stoughton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770054751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (Massachusetts) | Primary |
Entity Name | Fathers Uplift Family Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174975452 PECOS PAC ID: 7012334774 Enrollment ID: O20200827000236 |
Mailing Address | Practice Location Address |
---|---|
Mr Cori Jamal Williams, LICSW 7664 Legacy Ridge Dr, West Chester, OH 45069-5930 Ph: (857) 829-3067 | Mr Cori Jamal Williams, LICSW 7 Cabot Pl Ste 3b, Stoughton, MA 02072-4631 Ph: (857) 227-9101 |
Ms. Susan Marydith Graesser, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 36 Walnut Ct, Stoughton, MA 02072 Phone: 781-344-0244 | |
Jo Anne Soshnick, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 378 Page St Ste 6, Stoughton, MA 02072 Phone: 339-364-8080 Fax: 781-436-5829 | |
Charlotte Frances Mccarthy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Pearl St, Stoughton, MA 02072 Phone: 781-344-0057 | |
Lynne Kathy Mitchell, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Chipman Ln, Stoughton, MA 02072 Phone: 781-344-9645 | |
Mrs. Rina Radding, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 27 Glen St, Suite 14, Stoughton, MA 02072 Phone: 781-784-5778 Fax: 781-341-0420 | |
Nancy M Gibbons, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 966a Park St, Stoughton, MA 02072 Phone: 781-341-0923 Fax: 781-341-0994 | |
Allison Puliafico, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 77 Birchwood Rd, Stoughton, MA 02072 Phone: 508-826-2004 |