Pamela Jean Whitlock, | |
100 Brooksby Village Dr, Peabody, MA 01960-1438 | |
(978) 536-7850 | |
(978) 536-7851 |
Full Name | Pamela Jean Whitlock |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 100 Brooksby Village Dr, Peabody, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205170503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 117004 (Massachusetts) | Primary |
Entity Name | Supportive Behavioral Care Of Ma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
Mailing Address | Practice Location Address |
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Pamela Jean Whitlock, 5730 Executive Dr Ste 230, Catonsville, MD 21228-1762 Ph: (978) 536-7850 | Pamela Jean Whitlock, 100 Brooksby Village Dr, Peabody, MA 01960-1438 Ph: (978) 536-7850 |
Hema Naraharisetty, M.S, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1r Newbury St, Peabody, MA 01960 Phone: 781-420-2425 | |
Alison Locke, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Essex Center Dr, Lahey Medical Center, Peabody, Peabody, MA 01960 Phone: 781-744-8780 Fax: 781-744-4702 | |
Lauren Park, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 243 Andover St Fl 2, Peabody, MA 01960 Phone: 617-431-8394 | |
Danielle B Epstein, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9 Centennial Dr, Suite 202, Peabody, MA 01960 Phone: 978-927-9410 Fax: 978-531-1355 | |
Marzena Carty, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1r Newbury St Ste 205, Peabody, MA 01960 Phone: 978-535-1606 Fax: 978-535-2550 | |
Laurie Grant, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10 South St, Peabody, MA 01960 Phone: 800-735-8951 Fax: 866-437-5208 | |
Mrs. Sharon Paige Fischer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Centennial Dr, Peabody, MA 01960 Phone: 978-818-6785 |