Ms Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC in South Hamilton, MA

Ms Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC is a medicare enrolled "Social Worker - Clinical" provider in South Hamilton, Massachusetts. Her current practice location is 380 Highland St, South Hamilton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 233-1226.

Ms Maryellen Fairchild Collamore is licensed to practice in Massachusetts (license number 121357) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124336920.

Contact Information

	Ms Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC
	380 Highland St, South Hamilton, MA 01982-1310
	(978) 233-1226
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Maryellen Fairchild Collamore
Gender	Female
Speciality	Social Worker - Clinical
Location	380 Highland St, South Hamilton, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124336920
Provider Enumeration Date: 09/15/2010
Last Update Date: 05/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6800138298
Enrollment ID: I20190506001062

Medical Identifiers

Medical identifiers for Ms Maryellen Fairchild Collamore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124336920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	81865 (California)	Secondary
225A00000X	Music Therapist	09139 (Pennsylvania)	Secondary
1041C0700X	Social Worker - Clinical	121357 (Massachusetts)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Maryellen Fairchild Collamore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC 380 Highland St, South Hamilton, MA 01982-1310 Ph: (978) 233-1226	Ms Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC 380 Highland St, South Hamilton, MA 01982-1310 Ph: (978) 233-1226

Reviews and Comments

Social Worker in South Hamilton, MA

Alison Elizabeth Trimby, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 203 Willow St Ste 3, South Hamilton, MA 01982 Phone: 978-712-0299 Fax: 844-640-9919
Caroline S Harris, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22 Aj Gordon Ct # B205, South Hamilton, MA 01982 Phone: 336-905-2006
Kathleen M Lyons, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 Willow St Bldg B, South Hamilton, MA 01982 Phone: 978-572-0788 Fax: 844-222-4840
Patricia Axsom O'brien, M.DIV., LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 639 Bay Rd, South Hamilton, MA 01982 Phone: 978-309-9660
Ms. Jessica Hammon Webb, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 Willow St Ste B3f, South Hamilton, MA 01982 Phone: 978-239-7633
Mr. Robert Kaufman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 60 Railroad Ave, South Hamilton, MA 01982 Phone: 978-468-7010

Ms Maryellen Fairchild Collamore, LICSW, LCSW, MT-BC - Medicare Clinical Social Worker in South Hamilton, MA