Shana Lynn Antonino I, LICSW | |
69 E Main St, Norton, MA 02766-2307 | |
(508) 285-2701 | |
(508) 285-5181 |
Full Name | Shana Lynn Antonino I |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 69 E Main St, Norton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568662856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 114123 (Massachusetts) | Primary |
Entity Name | Tmin Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225734262 PECOS PAC ID: 0840657862 Enrollment ID: O20230607001401 |
Mailing Address | Practice Location Address |
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Shana Lynn Antonino I, LICSW 69 E Main St, Norton, MA 02766-2307 Ph: (508) 285-2701 | Shana Lynn Antonino I, LICSW 69 E Main St, Norton, MA 02766-2307 Ph: (508) 285-2701 |
Mr. Stephen Daniel Dipasquale, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Main St, Norton, MA 02766 Phone: 508-285-8184 | |
Ms. Constance Jean Goldzung-eckart, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Strawstone Ln, Norton, MA 02766 Phone: 508-285-6338 | |
Lisa A Laperle Bialous, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Main St, Norton, MA 02766 Phone: 508-285-9400 Fax: 508-285-6573 | |
Mrs. Joyce - Girardi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Main St, Norton, MA 02766 Phone: 508-285-9400 Fax: 508-285-6573 | |
Miss Ann Maggi, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Main St, Norton, MA 02766 Phone: 508-285-9400 Fax: 508-285-6573 | |
Ms. Kacy Ashley Cerasoli Maitland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 W Main St, Norton, MA 02766 Phone: 508-285-9400 | |
Ms. Amy Dean, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 108 W Main St, Norton, MA 02766 Phone: 508-285-9400 Fax: 508-285-6573 |