| Icsolutions | |
|
20 Strathmore Rd Worcester MA 01610-3414 | |
| (617) 785-8127 | |
| Not Available |
| Full Name | Icsolutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 20 Strathmore Rd, Worcester, Massachusetts |
| Authorized Official Name and Position | Eliayne Luperon (CEO/CLINICIAN) |
| Authorized Official Contact | 6177858127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icsolutions 191 E Quasset Rd Woodstock CT 06281-3307 Ph: (617) 785-8127 | Icsolutions 20 Strathmore Rd Worcester MA 01610-3414 Ph: (617) 785-8127 |
| NPI Number | 1518618230 |
|---|---|
| Provider Enumeration Date | 01/13/2022 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 2264873439 |
|---|---|
| Medicare Enrollment ID | O20240520000324 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518618230 | NPI | - | NPPES |
| Provider Name | Ellie Luperon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043563042 PECOS PAC ID: 3779925995 Enrollment ID: I20240520002945 |
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