| Dontie Wilkinson, Licsw, Llc | |
|
99 Walnut St Ste F Saugus MA 01906-1980 | |
| (978) 631-9010 | |
| Not Available |
| Full Name | Dontie Wilkinson, Licsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 99 Walnut St Ste F, Saugus, Massachusetts |
| Authorized Official Name and Position | Dontie Wilkinson (OWNER) |
| Authorized Official Contact | 9786319010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dontie Wilkinson, Licsw, Llc 99 Walnut St Ste F Saugus MA 01906-1980 Ph: (978) 631-9010 | Dontie Wilkinson, Licsw, Llc 99 Walnut St Ste F Saugus MA 01906-1980 Ph: (978) 631-9010 |
| NPI Number | 1518680867 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Medicare PECOS PAC ID | 8022543842 |
|---|---|
| Medicare Enrollment ID | O20241203000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518680867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Dontie C Wilkinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417277344 PECOS PAC ID: 6800110214 Enrollment ID: I20150113000824 |
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