Mrs Michelle Perez Vichot, MSW | |
265 Beach St, Revere, MA 02151-3131 | |
(617) 912-7704 | |
(781) 286-5636 |
Full Name | Mrs Michelle Perez Vichot |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 265 Beach St, Revere, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194893735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 110182 (Massachusetts) | Primary |
Entity Name | Family Counseling Associates Of Salem Andover Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013246602 PECOS PAC ID: 1052647963 Enrollment ID: O20190731000584 |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Perez Vichot, MSW 13 Clydesdale Rd, Chelmsford, MA 01824-1157 Ph: (617) 884-9435 | Mrs Michelle Perez Vichot, MSW 265 Beach St, Revere, MA 02151-3131 Ph: (617) 912-7704 |
Karen Suttle, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Everard Ave, Revere, MA 02151 Phone: 781-485-2715 | |
Lauren Nicole Shultz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 382 Ocean Ave Apt 603, Revere, MA 02151 Phone: 973-270-4557 | |
Matthew E Peiken, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 265 Beach St, 3rd Floor, Revere, MA 02151 Phone: 617-968-5072 Fax: 617-968-5072 | |
Lucia H. Milla-deangelo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Everard Ave, Revere, MA 02151 Phone: 781-485-2715 | |
Eglantina Malaj, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 Roosevelt St, Revere, MA 02151 Phone: 781-600-1996 | |
Ms. Miriam Nelson Oliver, MSW, LICSW, LMT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Ocean Ave, Revere, MA 02151 Phone: 781-504-3838 Fax: 781-485-6119 |