Mrs Leah Christine Coburn, LICSW | |
301 S Huntington Ave, Jamaica Plain, MA 02130-4807 | |
(857) 307-3300 | |
Not Available |
Full Name | Mrs Leah Christine Coburn |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 301 S Huntington Ave, Jamaica Plain, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962978957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 121649 (Massachusetts) | Primary |
Entity Name | Brigham & Womens Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033535497 PECOS PAC ID: 3870405988 Enrollment ID: O20150107001260 |
Entity Name | Iora Health Massachusetts, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255842936 PECOS PAC ID: 9638435035 Enrollment ID: O20171116002743 |
Mailing Address | Practice Location Address |
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Mrs Leah Christine Coburn, LICSW 75 Francis St, Boston, MA 02115-6110 Ph: (617) 732-5500 | Mrs Leah Christine Coburn, LICSW 301 S Huntington Ave, Jamaica Plain, MA 02130-4807 Ph: (857) 307-3300 |
Elise Block Gottesman, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Bickford St, Jamaica Plain, MA 02130 Phone: 617-971-2100 Fax: 617-983-1377 | |
Mr. Robert J. Fettig, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Morton St, Jamaica Plain, MA 02130 Phone: 617-626-9553 Fax: 617-626-9578 | |
Jack Harshman, LMHC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Robinwood Ave, Jamaica Plain, MA 02130 Phone: 781-871-6550 | |
Heydon Hensley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3815 Washington St Ste 2, Jamaica Plain, MA 02130 Phone: 617-983-5800 | |
Meghan L Resetar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 Bynner St, Apt 1, Jamaica Plain, MA 02130 Phone: 619-781-2045 | |
Tena Robinson, B.A. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, Jamaica Plain, MA 02130 Phone: 857-345-5098 | |
Kathleen Rose, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Amory St, Suite 5, Jamaica Plain, MA 02130 Phone: 617-383-6522 Fax: 617-383-6520 |