| Creative Counseling Solutions, Inc | |
|
345 Union St New Bedford MA 02740-3679 | |
| (508) 717-0212 | |
| (508) 717-0212 |
| Full Name | Creative Counseling Solutions, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 345 Union St, New Bedford, Massachusetts |
| Authorized Official Name and Position | Robert Edward Konkel (PRESIDENT) |
| Authorized Official Contact | 5087170212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Counseling Solutions, Inc 345 Union St New Bedford MA 02740-3679 Ph: (508) 717-0212 | Creative Counseling Solutions, Inc 345 Union St New Bedford MA 02740-3679 Ph: (508) 717-0212 |
| NPI Number | 1760626527 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 06/16/2015 |
| Medicare PECOS PAC ID | 5890963987 |
|---|---|
| Medicare Enrollment ID | O20110715000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760626527 | NPI | - | NPPES |
| P06582 | Other | BC/BS | |
| 013485440-0 | Other | MA | PACIFICARE |
| 1853937 | Medicaid | MA | |
| 6254470 | Other | UBHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1022691 (Massachusetts) | Primary |
| Provider Name | Robert Konkel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497803548 PECOS PAC ID: 9436107349 Enrollment ID: I20050107000210 |
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