Ms Jennifer Ann Theberge Ierardi, MSW LICSW | |
10 Bedford St, Abington, MA 02351 | |
(781) 871-2051 | |
(781) 871-5558 |
Full Name | Ms Jennifer Ann Theberge Ierardi |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10 Bedford St, Abington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619019163 | NPI | - | NPPES |
46065135 | Other | PACIFICARE | |
494156 | Other | TUFTS | |
P08717 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 110819 (Massachusetts) | Primary |
Entity Name | Institute For Spiritual Life And Psychotherapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528317583 PECOS PAC ID: 9830520014 Enrollment ID: O20200505000124 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Ann Theberge Ierardi, MSW LICSW Po Box 2025, Abington, MA 02351 Ph: (781) 871-2051 | Ms Jennifer Ann Theberge Ierardi, MSW LICSW 10 Bedford St, Abington, MA 02351 Ph: (781) 871-2051 |
Cara Henry, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1035 Bedford St, Suite 102, Abington, MA 02351 Phone: 781-820-4530 | |
Connor Kellett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 673 Bedford St, Abington, MA 02351 Phone: 508-808-2969 | |
Mrs. Allison Ostashen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Pilgrim St, Abington, MA 02351 Phone: 617-529-0420 |