Mr Tai Pryjma, LICSW | |
43 Garrison Rd, Brookline, MA 02445-4445 | |
(617) 277-8107 | |
Not Available |
Full Name | Mr Tai Pryjma |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 43 Garrison Rd, Brookline, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700859410 | NPI | - | NPPES |
P10297 | Other | MA | BLUE CROSS/BLUE SHIELD |
2196394 | Other | MA | CCN / FIRST HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 113194 (Massachusetts) | Primary |
Entity Name | North Shore Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
Mailing Address | Practice Location Address |
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Mr Tai Pryjma, LICSW 43 Garrison Rd, Brookline, MA 02445-4445 Ph: (617) 277-8107 | Mr Tai Pryjma, LICSW 43 Garrison Rd, Brookline, MA 02445-4445 Ph: (617) 277-8107 |
Lauren Post, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Beacon St, Brookline, MA 02446 Phone: 617-566-2200 | |
Ms. Lea W. Lortie, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Beacon St, Brookline, MA 02446 Phone: 617-388-7440 | |
Christi Collins, PSY.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 333 Washington St, Brookline, MA 02445 Phone: 508-246-4223 | |
Margaret Mary Reiser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Chestnut Pl, Brookline, MA 02445 Phone: 617-680-3066 | |
Karen Melikian, PH.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1577 Beacon St, Brookline, MA 02446 Phone: 617-734-0089 | |
Danit Bolotnikoff Hochman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1415 Beacon St, Brookline, MA 02446 Phone: 617-566-2200 | |
Ms. Lynda Seletsky, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Beacon St, 5 West, Brookline, MA 02446 Phone: 617-667-9688 |