Mr Lynn Terry Austrheim, LICSW | |
63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896-7322 | |
(781) 666-2711 | |
(781) 666-2712 |
Full Name | Mr Lynn Terry Austrheim |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 63 Eddie Dowling Hwy Ste 8, North Smithfield, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679607204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149000345 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | ISW03653 (Rhode Island) | Primary |
Entity Name | Spectrum Neuro Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356906572 PECOS PAC ID: 2860721362 Enrollment ID: O20190909003262 |
Mailing Address | Practice Location Address |
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Mr Lynn Terry Austrheim, LICSW 61 Lincoln St Ste 203, Framingham, MA 01702-8264 Ph: (781) 666-2711 | Mr Lynn Terry Austrheim, LICSW 63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896-7322 Ph: (781) 666-2711 |
Melissa Burl, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896 Phone: 781-666-2711 Fax: 781-666-2712 | |
Leap Sok, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 63 Eddie Dowling Hwy Ste 8, North Smithfield, RI 02896 Phone: 781-666-2711 Fax: 781-666-2712 | |
Ms. Lauren Patricia Canuel, LICSW, ACSW, BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5 Cedar Forest Rd, North Smithfield, RI 02896 Phone: 401-595-3746 Fax: 401-766-1993 | |
Peggy Pionke, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 63 Eddie Dowling Hwy Ste 9, North Smithfield, RI 02896 Phone: 781-666-2711 | |
Mary Silva, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Premisy Hill Rd, North Smithfield, RI 02896 Phone: 401-640-2178 | |
Joanna C Wood, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 63 Eddie Dowling Hwy Ste 9, North Smithfield, RI 02896 Phone: 401-414-3485 Fax: 401-414-3486 |