| Jewish Family & Children's Service | |
|
1430 Main St Waltham MA 02451-1623 | |
| (781) 647-5327 | |
| (781) 693-5581 |
| Full Name | Jewish Family & Children's Service |
|---|---|
| Speciality | Social Worker |
| Location | 1430 Main St, Waltham, Massachusetts |
| Authorized Official Name and Position | Ellen Lash (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Contact | 6172276641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family & Children's Service 1430 Main St Waltham MA 02451-1623 Ph: (781) 647-5327 | Jewish Family & Children's Service 1430 Main St Waltham MA 02451-1623 Ph: (781) 647-5327 |
| NPI Number | 1184708091 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5193797975 |
|---|---|
| Medicare Enrollment ID | O20040811001033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184708091 | NPI | - | NPPES |
| 1308033 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4501 (Massachusetts) | Primary |
| Provider Name | Sandra M Katz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336126481 PECOS PAC ID: 6901703818 Enrollment ID: I20031218000197 |
| Provider Name | Elaine S Pressman Kapperman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114005055 PECOS PAC ID: 3173425972 Enrollment ID: I20040122000825 |
| Provider Name | Amy L Colangelo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932122660 PECOS PAC ID: 5496782138 Enrollment ID: I20050725000396 |
| Provider Name | Deborah G Samet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831112069 PECOS PAC ID: 0840225041 Enrollment ID: I20050927000710 |
| Provider Name | Debra L Shrier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447486055 PECOS PAC ID: 8224174206 Enrollment ID: I20091005000601 |
| Provider Name | Margaret S Vanbael |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124387923 PECOS PAC ID: 2769647973 Enrollment ID: I20120712000659 |
| Provider Name | Deepika Shaligram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709263 PECOS PAC ID: 8123338480 Enrollment ID: I20151117001536 |
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