Tracey Weeden, LICSW | |
10 Gove St, East Boston, MA 02128-1920 | |
(617) 569-5800 | |
(617) 568-4756 |
Full Name | Tracey Weeden |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10 Gove St, East Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144471756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LICSW118792 (Massachusetts) | Primary |
Entity Name | Direct Access Counseling & Supportive Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679011449 PECOS PAC ID: 3971878398 Enrollment ID: O20171010002520 |
Mailing Address | Practice Location Address |
---|---|
Tracey Weeden, LICSW 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Tracey Weeden, LICSW 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Kit Lussier Rainboth, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 96 Webster St Unit G, East Boston, MA 02128 Phone: 857-218-9617 | |
Mrs. Lori Ann Mackay, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 530 Border St, East Boston, MA 02128 Phone: 617-569-6560 | |
Arilene I. Hernandez, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
John Joseph Manganaro, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-912-7587 | |
Franchette Haimeur, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
Nanci Siegel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-523-1529 | |
Deanne Dworski-riggs, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-568-5800 Fax: 617-568-4756 |