Mrs Christine Randle, LICSW | |
615 Leominster Rd, Lunenburg, MA 01462-2013 | |
(978) 582-7103 | |
(978) 582-6264 |
Full Name | Mrs Christine Randle |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 615 Leominster Rd, Lunenburg, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588765473 | NPI | - | NPPES |
1035290 | Other | MA | FALLON |
MAGELLAN | Other | MA | 411712 |
05420331 | Other | MA | UBH |
P08211 | Other | MA | BCBS |
11602293 | Other | CAQH | |
1852892 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 111274 (Massachusetts) | Primary |
Entity Name | Flying High Farm Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598954539 PECOS PAC ID: 4880978865 Enrollment ID: O20170313000962 |
Mailing Address | Practice Location Address |
---|---|
Mrs Christine Randle, LICSW 615 Leominster Rd, Lunenburg, MA 01462-2013 Ph: (978) 582-7103 | Mrs Christine Randle, LICSW 615 Leominster Rd, Lunenburg, MA 01462-2013 Ph: (978) 582-7103 |
Ms. Brooke Marie Chamberland, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Mass Ave Ste 1, Lunenburg, MA 01462 Phone: 978-835-3780 Fax: 978-319-4162 | |
Lyn Bohan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 603 Massachusetts Ave, Lunenburg, MA 01462 Phone: 978-582-0208 | |
Mrs. Christen Day Drouin, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 Massachusetts Ave Ste 1, Lunenburg, MA 01462 Phone: 978-621-7538 | |
Rosilver Salcedo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Leominster Rd, Lunenburg, MA 01462 Phone: 978-582-7103 | |
Miss Sarah Marie Charest Dubovsky, LICSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 615 Leominster Rd, Lunenburg, MA 01462 Phone: 774-218-8721 | |
Dr. Amy Perreault, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11 Cortland Cir, Lunenburg, MA 01462 Phone: 781-266-6413 |