Mr Keith Howard Mantel, LICSW | |
409 W Broadway, South Boston, MA 02127-2245 | |
(617) 269-7500 | |
Not Available |
Full Name | Mr Keith Howard Mantel |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 409 W Broadway, South Boston, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356351118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 117738 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Boston Community Health Center Inc | 2062487291 | 46 |
Child And Family Psychological Services Pllc | 5991763823 | 187 |
Entity Name | South Boston Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669447413 PECOS PAC ID: 2062487291 Enrollment ID: O20040831000673 |
Entity Name | Child And Family Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
Mailing Address | Practice Location Address |
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Mr Keith Howard Mantel, LICSW 409 W Broadway, South Boston, MA 02127-2245 Ph: (617) 269-7500 | Mr Keith Howard Mantel, LICSW 409 W Broadway, South Boston, MA 02127-2245 Ph: (617) 269-7500 |
Mr. Daniel T Sullivan, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 | |
Matthew P Conti, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St, South Boston, MA 02127 Phone: 617-534-9516 | |
John Augustus Northridge, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Mrs. Patricia Shen, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 279 Athens St, South Boston, MA 02127 Phone: 617-823-5350 | |
Paul Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 W Broadway, South Boston, MA 02127 Phone: 617-464-8571 | |
Mrs. Mary Elizabeth Kelleher, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58 Old Colony Ave, South Boston, MA 02127 Phone: 617-268-1700 Fax: 617-268-1991 | |
Elizabeth Hamilton Barney, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 275 W Broadway, South Boston, MA 02127 Phone: 617-268-9670 |