| Counseling & Assessment Clinic Of Worcester Llc | |
|
255 Park Ave Ste 804 Worcester MA 01609 | |
| (508) 756-5400 | |
| (508) 756-5433 |
| Full Name | Counseling & Assessment Clinic Of Worcester Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 255 Park Ave Ste 804, Worcester, Massachusetts |
| Authorized Official Name and Position | Jennifer J Hylton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5087565400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Assessment Clinic Of Worcester Llc 255 Park Ave Ste 804 Worcester MA 01609-1984 Ph: (508) 756-5400 | Counseling & Assessment Clinic Of Worcester Llc 255 Park Ave Ste 804 Worcester MA 01609 Ph: (508) 756-5400 |
| NPI Number | 1487863494 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/23/2018 |
| Medicare PECOS PAC ID | 8820145394 |
|---|---|
| Medicare Enrollment ID | O20090421000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487863494 | NPI | - | NPPES |
| 1894196 | Medicaid | MA |
| Provider Name | Jennifer J Hylton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457339699 PECOS PAC ID: 0446216717 Enrollment ID: I20041208000515 |
| Provider Name | Elizabeth A Hylton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376833467 PECOS PAC ID: 9234356387 Enrollment ID: I20140813001143 |
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