| Mr Jephte Fanor, | |
|
317 Blue Hill Ave, Dorchester, MA 02121-4302 | |
| (617) 427-4470 | |
| Not Available |
| Full Name | Mr Jephte Fanor |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 317 Blue Hill Ave, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033328893 | NPI | - | NPPES |
| 1309587 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jephte Fanor, 66 Collins Ave, Randolph, MA 02368-2048 Ph: (781) 963-9301 | Mr Jephte Fanor, 317 Blue Hill Ave, Dorchester, MA 02121-4302 Ph: (617) 427-4470 |
Ms. Diane L Staib, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Upham's Elder Service Plan, 1140 Dorchester Ave, Dorchester, MA 02125 Phone: 617-288-0970 Fax: 617-474-0757 | |
Ms. Erin L Lilley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Boston St, Unit 2, Dorchester, MA 02125 Phone: 857-334-4172 Fax: 617-427-9214 | |
Mr. Tyler Smith Buckhout, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 294 Bowdoin St, Dorchester, MA 02122 Phone: 617-388-7885 | |
Emily Knox, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 175 Milton Ave, Dorchester, MA 02124 Phone: 781-985-3645 | |
Anne Marie Jarvis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 538 Talbot Ave, Dorchester, MA 02124 Phone: 617-282-0126 | |
Jacqueline Wallace, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 Blue Hill Ave, Dorchester, MA 02121 Phone: 617-541-6859 Fax: 617-442-2125 |