| Family Services Of The Merrimack Valley, Inc. | |
|
430 N Canal St Lawrence MA 01840-1246 | |
| (978) 683-9505 | |
| (978) 683-1026 |
| Full Name | Family Services Of The Merrimack Valley, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 430 N Canal St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Elizabeth A. Sweeney (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9783276637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Services Of The Merrimack Valley, Inc. 430 N Canal St Lawrence MA 01840-1246 Ph: (978) 683-9505 | Family Services Of The Merrimack Valley, Inc. 430 N Canal St Lawrence MA 01840-1246 Ph: (978) 683-9505 |
| NPI Number | 1679680615 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 11/01/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 5395756126 |
|---|---|
| Medicare Enrollment ID | O20060509000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679680615 | NPI | - | NPPES |
| 1305093 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 4206 (Massachusetts) | Primary |
| Provider Name | Helenita S Hamer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053453506 PECOS PAC ID: 9739138660 Enrollment ID: I20050119000045 |
| Provider Name | Ana S Cabacoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972623304 PECOS PAC ID: 2769544741 Enrollment ID: I20081230000027 |
| Provider Name | Kara Drew Bloomingdale |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376776526 PECOS PAC ID: 7719248681 Enrollment ID: I20180719003931 |
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