Joseph Gardner, LMHC | |
2020 Centre Street, West Roxbury, MA 02132 | |
(617) 325-6700 | |
(617) 325-6581 |
Full Name | Joseph Gardner |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 2020 Centre Street, West Roxbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053372490 | NPI | - | NPPES |
3990 | Other | MA | LMHC DIV OF PROF LICENSE |
1910 | Other | MA | LADCI DEPT OF PUB HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3990 (Massachusetts) | Primary |
Entity Name | Toward Independent Living & Learning, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992898035 PECOS PAC ID: 6103831979 Enrollment ID: O20060215000402 |
Mailing Address | Practice Location Address |
---|---|
Joseph Gardner, LMHC 18 Powder House Circle, Needham, MA 02492 Ph: (781) 449-1447 | Joseph Gardner, LMHC 2020 Centre Street, West Roxbury, MA 02132 Ph: (617) 325-6700 |
Nichole Artavia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Vfw Pkwy, Suite 6, West Roxbury, MA 02132 Phone: 617-325-2993 Fax: 617-325-5618 | |
Mrs. Yelena Z Lukashev, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Vfw Pkwy, #8, West Roxbury, MA 02132 Phone: 617-325-2993 Fax: 617-325-5618 | |
Sumaiya Afroz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Centre St, West Roxbury, MA 02132 Phone: 508-660-1510 | |
Marina Breydo, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 540 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-325-2993 Fax: 617-325-2994 | |
Isabel Coll, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 28 Ridgecrest Ter, Apt 20, West Roxbury, MA 02132 Phone: 585-857-1341 | |
Kara E Vanasse, M.A., CAGS Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Bellevue St Apt 15, West Roxbury, MA 02132 Phone: 401-241-6348 |