| Catholic Charities Fcgc | |
|
275 W Broadway South Boston MA 02127-1943 | |
| (617) 464-8569 | |
| (978) 777-4242 |
| Full Name | Catholic Charities Fcgc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 275 W Broadway, South Boston, Massachusetts |
| Authorized Official Name and Position | Callie Ann Armstrong (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 6174648569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities Fcgc 275 W Broadway South Boston MA 02127-1943 Ph: (617) 464-8500 | Catholic Charities Fcgc 275 W Broadway South Boston MA 02127-1943 Ph: (617) 464-8569 |
| NPI Number | 1003979014 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 09/13/2023 |
| Certification Date | 09/13/2023 |
| Medicare PECOS PAC ID | 3577471051 |
|---|---|
| Medicare Enrollment ID | O20040622000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003979014 | NPI | - | NPPES |
| 1300105 | Medicaid | MA | |
| 1311158 | Medicaid | MA | |
| 110024365P | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4082 (Massachusetts) | Primary |
| Provider Name | Laura Omeara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407005242 PECOS PAC ID: 6002897204 Enrollment ID: I20040525000735 |
| Provider Name | Eugene O Uzogara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831108406 PECOS PAC ID: 5991742892 Enrollment ID: I20050412001223 |
| Provider Name | Jeri J Mcleod Rabchenuk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912001371 PECOS PAC ID: 1456384858 Enrollment ID: I20050915001005 |
| Provider Name | Joyce E Levenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225126402 PECOS PAC ID: 9133153331 Enrollment ID: I20050926001102 |
| Provider Name | Cheryl P Kristoph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639319197 PECOS PAC ID: 7517004849 Enrollment ID: I20091020000022 |
| Provider Name | Margery Walentuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720488778 PECOS PAC ID: 5092024612 Enrollment ID: I20151022001110 |
| Provider Name | Christine M Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487023230 PECOS PAC ID: 2062706633 Enrollment ID: I20160804000085 |
| Provider Name | Nicole N Gesamondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493164 PECOS PAC ID: 6002174158 Enrollment ID: I20171218003049 |
| Provider Name | Callie Ann Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194034546 PECOS PAC ID: 8123355930 Enrollment ID: I20190815002808 |
| Provider Name | Stephan J Pavlas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124458724 PECOS PAC ID: 0446684278 Enrollment ID: I20200102001020 |
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Wholesome Psychiatry, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10 Andrew Sq Ste 201b, South Boston, MA 02127 Phone: 617-820-7677 | |
City Point Behavioral Consulting Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 663 E 7th St Apt 1, South Boston, MA 02127 Phone: 617-600-6401 | |
Team Pbs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 James Oneill St Apt 504, South Boston, MA 02127 Phone: 857-445-3932 |