Ms Sandra Ann Theodor, LICSW | |
151 Mystic Ave, Ste 6, Dcs Mental Health Inc., Medford, MA 02155-4632 | |
(781) 396-1199 | |
Not Available |
Full Name | Ms Sandra Ann Theodor |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 151 Mystic Ave, Medford, Massachusetts |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891911749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1029070 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dcs Mental Health, Inc | 8820992456 | 12 |
Entity Name | Dcs Mental Health, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215912894 PECOS PAC ID: 8820992456 Enrollment ID: O20031201000715 |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra Ann Theodor, LICSW 46 Cranmore Ln, Melrose, MA 02176-1507 Ph: (781) 662-1185 | Ms Sandra Ann Theodor, LICSW 151 Mystic Ave, Ste 6, Dcs Mental Health Inc., Medford, MA 02155-4632 Ph: (781) 396-1199 |
Charlotte Jamar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34 Grove St, Medford, MA 02155 Phone: 781-648-6053 | |
Deborah Herzog, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 High St Ste 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564 | |
Mr. Howard David Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 259 Park St - Apt. 2, Medford, MA 02155 Phone: 781-395-7374 | |
Mrs. Kerri Anne Dewolf, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Governors Ave, Medford, MA 02155 Phone: 781-306-6157 Fax: 781-306-6146 | |
Alexandra Jane Kennedy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 47 Washington St, Medford, MA 02155 Phone: 413-464-3067 | |
Mr. William Frank Scalise, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 High St, Suite 2a, Medford, MA 02155 Phone: 781-393-0009 Fax: 781-395-2909 | |
Sarah Evans, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 High St, Suite 10, Medford, MA 02155 Phone: 781-395-1560 Fax: 781-391-5564 |