| Access For Change, Llc | |
|
80 Washington St Bldg D Norwell MA 02061-1740 | |
| (781) 871-2212 | |
| (781) 871-2225 |
| Full Name | Access For Change, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 80 Washington St Bldg D, Norwell, Massachusetts |
| Authorized Official Name and Position | Robert Louis Nutt (SOLE MEMBER ANS MANAGER) |
| Authorized Official Contact | 7818712212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access For Change, Llc 80 Washington St Bldg D Norwell MA 02061-1740 Ph: (781) 871-2212 | Access For Change, Llc 80 Washington St Bldg D Norwell MA 02061-1740 Ph: (781) 871-2212 |
| NPI Number | 1215563200 |
|---|---|
| Provider Enumeration Date | 03/21/2020 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 0840601902 |
|---|---|
| Medicare Enrollment ID | O20201120000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215563200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert L Nutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720078785 PECOS PAC ID: 5799704896 Enrollment ID: I20051117000880 |
| Provider Name | Brian J Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578018511 PECOS PAC ID: 3779841622 Enrollment ID: I20171222000253 |
| Provider Name | Richard Eric Kleiman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962024208 PECOS PAC ID: 6103237839 Enrollment ID: I20201201001452 |
| Provider Name | Hailey Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528438991 PECOS PAC ID: 3072920297 Enrollment ID: I20210405001775 |
| Provider Name | Olivia Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477123164 PECOS PAC ID: 1456757442 Enrollment ID: I20210830002990 |
| Provider Name | Tamie Parker Song |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275285389 PECOS PAC ID: 0840679213 Enrollment ID: I20220615003180 |
| Provider Name | William J Downey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710155494 PECOS PAC ID: 7315306933 Enrollment ID: I20230629002900 |
| Provider Name | Elizabeth Cady Roby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407399181 PECOS PAC ID: 4082078035 Enrollment ID: I20230911001401 |
| Provider Name | Marisa Baronas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154077956 PECOS PAC ID: 0941656490 Enrollment ID: I20231019002928 |
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