| Amy Goffredo Llc | |
|
1342 Belmont St Suite 103 Brockton MA 02301-4436 | |
| (508) 313-2082 | |
| (508) 313-2082 |
| Full Name | Amy Goffredo Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1342 Belmont St, Brockton, Massachusetts |
| Authorized Official Name and Position | Amy Patricia Goffredo (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5083132082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Goffredo Llc 77 Union St North Easton MA 02356-1013 Ph: (508) 313-2082 | Amy Goffredo Llc 1342 Belmont St Suite 103 Brockton MA 02301-4436 Ph: (508) 313-2082 |
| NPI Number | 1225409253 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 10/16/2015 |
| Medicare PECOS PAC ID | 1456652809 |
|---|---|
| Medicare Enrollment ID | O20151209001444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225409253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 117465 (Massachusetts) | Primary |
| Provider Name | Amy P Goffredo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871820613 PECOS PAC ID: 0143466474 Enrollment ID: I20130411000339 |
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