Ms Kerry Lavallee, LICSW | |
164 Main St, Boylston, MA 01505-1928 | |
(508) 928-7555 | |
Not Available |
Full Name | Ms Kerry Lavallee |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 164 Main St, Boylston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285969576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 114963 (Massachusetts) | Primary |
Entity Name | Richer Soil Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447712575 PECOS PAC ID: 4082050265 Enrollment ID: O20240311000832 |
Mailing Address | Practice Location Address |
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Ms Kerry Lavallee, LICSW 55 Mill Rd, Boylston, MA 01505-2012 Ph: (508) 928-7555 | Ms Kerry Lavallee, LICSW 164 Main St, Boylston, MA 01505-1928 Ph: (508) 928-7555 |
Dennis Goguen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 384 Sewall St, Boylston, MA 01505 Phone: 508-414-2867 Fax: 508-869-0268 | |
Rachel A Siegel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 919 Edgebrook Dr, Boylston, MA 01505 Phone: 888-766-9818 | |
Mr. Wayne M Pineau, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Elmwood Pl, Boylston, MA 01505 Phone: 508-869-0197 | |
Mrs. Lynn Botsaris, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107 Stiles Rd, Boylston, MA 01505 Phone: 774-364-1880 | |
Mrs. Carol Linda Ahlstrand Smith, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 Central St, Boylston, MA 01505 Phone: 508-869-3139 |