Vincent Sullo, | |
439 South Union St, Suit 116, Methuen, MA 01843 | |
(979) 682-9222 | |
Not Available |
Full Name | Vincent Sullo |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 439 South Union St, Methuen, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306398565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | Square Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356515464 PECOS PAC ID: 6608991187 Enrollment ID: O20100921000924 |
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 |
---|---|
Vincent Sullo, 439 S Union St, Suit 116, Lawrence, MA 01843-2837 Ph: (978) 682-9222 | Vincent Sullo, 439 South Union St, Suit 116, Methuen, MA 01843 Ph: (979) 682-9222 |
Laura Ann Giannotti, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0151 | |
Jessica Rousselle, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0156 | |
Erin Carroll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100a Haverhill St, Methuen, MA 01844 Phone: 978-682-5276 | |
Madennys Maria, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 147 Pelham St, Methuen, MA 01844 Phone: 978-683-3491 Fax: 978-683-3058 | |
Elizabeth Torrisi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0156 | |
Mrs. Sandra Ann Mansur, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 70 East St, Methuen, MA 01844 Phone: 978-687-0156 | |
David Carroll, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 A Haverhill Street, St. Ann's Home, Methuen, MA 01844 Phone: 978-682-5276 Fax: 978-688-4932 |