Quang Pho, | |
74 Florence St Apt 2, Somerville, MA 02145-3430 | |
(857) 626-6936 | |
Not Available |
Full Name | Quang Pho |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 74 Florence St Apt 2, Somerville, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417436585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LICSW127903 (Massachusetts) | Primary |
Entity Name | Brookline Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881610244 PECOS PAC ID: 9032181433 Enrollment ID: O20040806000864 |
Mailing Address | Practice Location Address |
---|---|
Quang Pho, 320 Broadway Unit 45521, Somerville, MA 02145-4522 Ph: (857) 626-6936 | Quang Pho, 74 Florence St Apt 2, Somerville, MA 02145-3430 Ph: (857) 626-6936 |
Ivy B Gross, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 43 Jackson Rd # 2, Somerville, MA 02145 Phone: 954-465-5478 | |
Ms. Billiesue Sawyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Hall Ave, Somerville, MA 02144 Phone: 617-623-3278 Fax: 617-623-1332 | |
Rebecca Worrall, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-591-6400 | |
Jennifer Putney, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26 Central St, Somerville, MA 02143 Phone: 617-591-6055 | |
Charlene Zuffante, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 61 Medford St, Somerville, MA 02143 Phone: 617-629-3919 Fax: 617-629-4644 | |
Ellen J Godena, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 92 Liberty Ave, Somerville, MA 02144 Phone: 617-407-2333 | |
Julie Janell Tapia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Summer St, Somerville, MA 02143 Phone: 617-354-2275 |