Kyannah M Depina, is a
Social Worker - Clinical based in Mattapan, Massachusetts. Kyannah M Depina is licensed to practice in * (Not Available) (license number ) and her current practice location is
201 River Sreet, Mattapan, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 534-9150.
NPI number for Kyannah M Depina is 1912771676 and her current mailing address is 372 Chatham West Dr, Brockton, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912771676.
Healthcare Provider's Profile
Full Name | Kyannah M Depina |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 201 River Sreet, Mattapan, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912771676
- Provider Enumeration Date: 11/13/2023
- Last Update Date: 04/12/2024
Medical Identifiers
Medical identifiers for Kyannah M Depina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912771676 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyannah M Depina is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kyannah M Depina, 372 Chatham West Dr, Brockton, MA 02301-1319 Ph: (774) 223-8984 | Kyannah M Depina, 201 River Sreet, Mattapan, MA 02126-2713 Ph: (617) 534-9150 |
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