Pamela Daniels Bourque, MSW, LICSW | |
687 Highland Ave, Second Floor, Needham, MA 02494-2232 | |
(617) 527-4610 | |
Not Available |
Full Name | Pamela Daniels Bourque |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 687 Highland Ave, Needham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649723008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 1028868 (Massachusetts) | Primary |
Entity Name | Family Counseling Associates Of Salem Andover Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013246602 PECOS PAC ID: 1052647963 Enrollment ID: O20190731000584 |
Mailing Address | Practice Location Address |
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Pamela Daniels Bourque, MSW, LICSW 687 Highland Ave, Second Floor, Needham, MA 02494-2232 Ph: (617) 527-4610 | Pamela Daniels Bourque, MSW, LICSW 687 Highland Ave, Second Floor, Needham, MA 02494-2232 Ph: (617) 527-4610 |
Ms. Joanna Imse, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 Hunnewell St, Suite 5, Needham, MA 02494 Phone: 617-762-0696 Fax: 781-400-5137 | |
Jessica Doeppner Llewellyn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 237 Highland Ave, Needham, MA 02494 Phone: 781-433-0672 Fax: 781-559-3192 | |
Elizabeth Emery, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 237 Highland Ave, Needham, MA 02494 Phone: 781-915-8981 | |
Diane Costello Schwerdt, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 145 Rosemary St Unit K, Needham, MA 02494 Phone: 617-444-7186 | |
Devon Elizabeth Smith, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 255 Highland Ave, Needham, MA 02494 Phone: 781-433-0672 | |
Ms. Margaret Lincoln Devecchi, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 711 Webster St, Needham, MA 02492 Phone: 413-695-7015 | |
Ms. Beth A. Burlingame, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1968 Central Ave, Needham, MA 02492 Phone: 781-292-2081 |