Mr Kevin Stewart Reddall, | |
265 Beach St, Revere, MA 02151-3131 | |
(860) 303-9670 | |
Not Available |
Full Name | Mr Kevin Stewart Reddall |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 265 Beach St, Revere, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871752824 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | North Suffolk Mental Health Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740209881 PECOS PAC ID: 9234037516 Enrollment ID: O20040331000751 |
Mailing Address | Practice Location Address |
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Mr Kevin Stewart Reddall, 265 Beach St, Revere, MA 02151-3131 Ph: (860) 303-9670 | Mr Kevin Stewart Reddall, 265 Beach St, Revere, MA 02151-3131 Ph: (860) 303-9670 |
Karen Suttle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Everard Ave, Revere, MA 02151 Phone: 781-485-2715 | |
Lauren Nicole Shultz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 382 Ocean Ave Apt 603, Revere, MA 02151 Phone: 973-270-4557 | |
Matthew E Peiken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 265 Beach St, 3rd Floor, Revere, MA 02151 Phone: 617-968-5072 Fax: 617-968-5072 | |
Lucia H. Milla-deangelo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Everard Ave, Revere, MA 02151 Phone: 781-485-2715 | |
Mrs. Michelle Perez Vichot, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 265 Beach St, Revere, MA 02151 Phone: 617-912-7704 Fax: 781-286-5636 | |
Eglantina Malaj, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 Roosevelt St, Revere, MA 02151 Phone: 781-600-1996 | |
Ms. Miriam Nelson Oliver, MSW, LICSW, LMT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-504-3838 Fax: 781-485-6119 |