Shawn Daley, | |
511 E Columbus Ave, Springfield, MA 01105-2506 | |
(413) 827-8959 | |
(413) 827-7015 |
Full Name | Shawn Daley |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 511 E Columbus Ave, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316089725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6920 (Massachusetts) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
---|---|
Shawn Daley, 63 Malden St, Worcester, MA 01606-1005 Ph: (413) 827-8959 | Shawn Daley, 511 E Columbus Ave, Springfield, MA 01105-2506 Ph: (413) 827-8959 |
Mrs. Linda Ann Lynch, RN, LADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2257 Main St, Springfield, MA 01107 Phone: 413-733-3488 Fax: 413-731-7381 | |
Ms. Alycia Felton, B.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Main Street, Springfield, MA 01103 Phone: 413-739-5572 | |
Ms. Jeanette Alicea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Springfield, MA 01103 Phone: 413-846-0445 Fax: 413-846-0447 | |
Gustavo Adolfo Guevara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-736-0127 Fax: 413-781-1059 | |
Edna A Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Springfield, MA 01105 Phone: 413-846-0445 Fax: 413-846-0447 | |
Jessica N Darling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Main St, Springfield, MA 01103 Phone: 413-739-5572 Fax: 413-739-9972 | |
Leah Kabue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Sherman St, Springfield, MA 01109 Phone: 413-739-5626 |