Jacki M Boswell, LMHC | |
165 Quincy St, Brockton, MA 02302-2988 | |
(508) 897-2088 | |
(508) 987-2135 |
Full Name | Jacki M Boswell |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 165 Quincy St, Brockton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023340072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 5205 (Massachusetts) | Primary |
Entity Name | Sturdy Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730106162 PECOS PAC ID: 4981653789 Enrollment ID: O20050119000678 |
Mailing Address | Practice Location Address |
---|---|
Jacki M Boswell, LMHC 165 Quincy St, Brockton, MA 02302-2988 Ph: (508) 897-2088 | Jacki M Boswell, LMHC 165 Quincy St, Brockton, MA 02302-2988 Ph: (508) 897-2088 |
Mrs. Neena Nicole Mcconnico, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 95 River St, Brockton, MA 02302 Phone: 508-580-8546 | |
Cecilia Vicente, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St, Suite 300, Brockton, MA 02301 Phone: 508-586-2660 Fax: 508-427-1505 | |
Krista Hojlo, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Brian Dr, Brockton, MA 02301 Phone: 508-245-1566 | |
Pamela Cummisky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Meadowbrook Rd, Brockton, MA 02301 Phone: 774-628-1000 | |
Thalia Dominguez, NREMT, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Cherry St, Brockton, MA 02301 Phone: 508-580-0801 | |
Deborah G Stromberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 37 Belmont St, Brockton, MA 02301 Phone: 508-580-4691 Fax: 508-588-5751 | |
Dennis Dipinto, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 529 Pearl St, Brockton, MA 02301 Phone: 508-580-2211 |