| Mr Michael David Gomes, LICSW | |
|
2 Columbia Rd, Pembroke, MA 02359-1842 | |
| (508) 245-7594 | |
| Not Available |
| Full Name | Mr Michael David Gomes |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2 Columbia Rd, Pembroke, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801000583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 110439 (Massachusetts) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael David Gomes, LICSW Po Box 655, Carver, MA 02330-0655 Ph: () - | Mr Michael David Gomes, LICSW 2 Columbia Rd, Pembroke, MA 02359-1842 Ph: (508) 245-7594 |
Julie Sahlins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Oak St, Pembroke, MA 02359 Phone: 781-829-7100 | |
Deirdre M. Dowd-pizzuto, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 Winter St, Pembroke, MA 02359 Phone: 781-312-1393 | |
Rosemarie Golash, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 28 Riverside Dr Ste 120, Pembroke, MA 02359 Phone: 774-404-1058 Fax: 339-309-7204 | |
Carrie Mae Buddington, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 172 Washington St Apt 240, Pembroke, MA 02359 Phone: 339-222-2891 | |
Ms. Janice Elaine Howard, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2 Columbia Rd Ste 8, Pembroke, MA 02359 Phone: 781-826-5333 Fax: 781-826-6807 | |
Mrs. Eve Masiello, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 9 Victoria Ln, Pembroke, MA 02359 Phone: 781-710-7356 Fax: 508-732-8701 | |
Elizabeth M Kariotis-rice, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 324 W Elm St, Pembroke, MA 02359 Phone: 781-929-1567 |