Carla Ko, LICSW | |
969 Main St Ste 208, Walpole, MA 02081-2972 | |
(508) 789-9837 | |
Not Available |
Full Name | Carla Ko |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 969 Main St Ste 208, Walpole, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265946867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 219136 (Massachusetts) | Primary |
Entity Name | Riverside Community Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780791467 PECOS PAC ID: 6709799885 Enrollment ID: O20031106000306 |
Mailing Address | Practice Location Address |
---|---|
Carla Ko, LICSW 969 Main St Ste 208, Walpole, MA 02081-2972 Ph: (508) 789-9837 | Carla Ko, LICSW 969 Main St Ste 208, Walpole, MA 02081-2972 Ph: (508) 789-9837 |
Jeni Lynn Labbe, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 School St Unit 5, Walpole, MA 02081 Phone: 774-469-0522 | |
Tanya Jacqueline Lungelow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Main St Ste 6b, Walpole, MA 02081 Phone: 781-269-9978 | |
Mrs. Stacey E Pimentel, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 School St, Walpole, MA 02081 Phone: 978-430-6373 Fax: 844-750-6903 | |
Lannie Wrightington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Main St Ste 6b, Walpole, MA 02081 Phone: 508-794-5188 | |
Kayla Medeiros, Counselor Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Rd, Walpole, MA 02081 Phone: 508-668-7703 | |
Vienna Corello-soares, Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Main St Ste 6b, Walpole, MA 02081 Phone: 508-794-5188 | |
Samantha Barbara Mcmahon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 869 Main St Ste 6b, Walpole, MA 02081 Phone: 508-794-5188 |