| Familywell Pllc | |
|
300 Baker Ave Ste 300 Concord MA 01742-2124 | |
| (864) 336-2731 | |
| (833) 740-3387 |
| Full Name | Familywell Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 300 Baker Ave Ste 300, Concord, Massachusetts |
| Authorized Official Name and Position | Jessica Gaulton (OWNER) |
| Authorized Official Contact | 2674324575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Familywell Pllc 144 Oakland St Wellesley MA 02481-5323 Ph: () - | Familywell Pllc 300 Baker Ave Ste 300 Concord MA 01742-2124 Ph: (864) 336-2731 |
| NPI Number | 1396524005 |
|---|---|
| Provider Enumeration Date | 09/22/2023 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 9436596582 |
|---|---|
| Medicare Enrollment ID | O20240325002040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396524005 | NPI | - | NPPES |
| Provider Name | Carrie Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841345972 PECOS PAC ID: 9739213935 Enrollment ID: I20100810000366 |
| Provider Name | Julie A Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891734323 PECOS PAC ID: 0143232256 Enrollment ID: I20190308001026 |
| Provider Name | Alexia Cirigliano Johnstone |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568781011 PECOS PAC ID: 2961849682 Enrollment ID: I20240318001397 |
| Provider Name | Brittney Connery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184194904 PECOS PAC ID: 0345687711 Enrollment ID: I20240320003192 |
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