Stephanie Provost Wladkowski, LICSW is a
Social Worker - Clinical based in Nahant, Massachusetts. Stephanie Provost Wladkowski is licensed to practice in Massachusetts (license number 114675) and her current practice location is
2 Hood St, Nahant, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(860) 794-6319.
NPI number for Stephanie Provost Wladkowski is 1265698575 and her current mailing address is 2 Hood St, Nahant, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265698575.
Healthcare Provider's Profile
Full Name | Stephanie Provost Wladkowski |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 2 Hood St, Nahant, Massachusetts |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265698575
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 09/17/2013
Medical Identifiers
Medical identifiers for Stephanie Provost Wladkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265698575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 114675 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Provost Wladkowski is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Provost Wladkowski, LICSW 2 Hood St, Nahant, MA 01908-1432 Ph: (860) 794-6319 | Stephanie Provost Wladkowski, LICSW 2 Hood St, Nahant, MA 01908-1432 Ph: (860) 794-6319 |
Reviews and Comments