Boston Evening Therapy Associates, Llc | |
7 Kent St Unit 3 Brookline MA 02445-7959 | |
(617) 738-1480 | |
(617) 738-1488 |
Full Name | Boston Evening Therapy Associates, Llc |
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Speciality | Social Worker |
Location | 7 Kent St, Brookline, Massachusetts |
Authorized Official Name and Position | Aaron P Gilbert (SOCIAL WORKER) |
Authorized Official Contact | 6177381480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Boston Evening Therapy Associates, Llc 831 Beacon St #101 Newton MA 02459-1822 Ph: (617) 738-1480 | Boston Evening Therapy Associates, Llc 7 Kent St Unit 3 Brookline MA 02445-7959 Ph: (617) 738-1480 |
NPI Number | 1881844975 |
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Provider Enumeration Date | 09/24/2008 |
Last Update Date | 12/21/2015 |
Medicare PECOS PAC ID | 3779734553 |
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Medicare Enrollment ID | O20121105000461 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881844975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 1032829 (Massachusetts) | Primary |
Provider Name | Bernard Scott |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154526606 PECOS PAC ID: 4789732686 Enrollment ID: I20090504000261 |
Provider Name | Ryan P Shannon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457687071 PECOS PAC ID: 4486818788 Enrollment ID: I20130320000564 |
Provider Name | Beth M Potter |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407011638 PECOS PAC ID: 3274770102 Enrollment ID: I20130513000283 |
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