Ms Mary Denise Harris, LCSW-C | |
55 Lake Ave N, Worcester, MA 01655-0002 | |
(774) 442-6629 | |
(774) 443-7399 |
Full Name | Ms Mary Denise Harris |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 55 Lake Ave N, Worcester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871947150 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 21684 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 122745 (Massachusetts) | Primary |
Entity Name | Northeast Health Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary Denise Harris, LCSW-C Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Ms Mary Denise Harris, LCSW-C 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 442-6629 |
Kristi Dawn Vargas, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1295 | |
Michael G Durben, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 286 Lincoln St, Worcester, MA 01605 Phone: 978-632-9400 | |
Jordan Doucette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Summer St, Worcester, MA 01608 Phone: 508-363-5000 | |
Ms. Laurie J Drazek, LCSW, M. ED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 280 Highland Street, Worcester, MA 01602 Phone: 508-860-1172 | |
Ms. Tuyet Tran, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-981-9797 | |
Kristine E Lotoski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 340 Main St, Suite 383, Worcester, MA 01608 Phone: 508-791-4976 Fax: 508-791-6723 | |
Ms. Julia Joachim Shaw, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 617-817-2033 |