| Luk Crisis Center Inc. | |
|
545 Westminster St Fitchburg MA 01420-4727 | |
| (978) 345-0685 | |
| (978) 342-8495 |
| Full Name | Luk Crisis Center Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 545 Westminster St, Fitchburg, Massachusetts |
| Authorized Official Name and Position | Lois J. Barry (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9783450685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luk Crisis Center Inc. 545 Westminster St Fitchburg MA 01420-4727 Ph: (978) 345-0685 | Luk Crisis Center Inc. 545 Westminster St Fitchburg MA 01420-4727 Ph: (978) 345-0685 |
| NPI Number | 1306962741 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 03/27/2008 |
| Medicare PECOS PAC ID | 2264476993 |
|---|---|
| Medicare Enrollment ID | O20050614000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306962741 | NPI | - | NPPES |
| 1321277 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4LJW (Massachusetts) | Primary |
| Provider Name | Victoria P Wolfson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194759597 PECOS PAC ID: 8022076611 Enrollment ID: I20041229000519 |
| Provider Name | Karen J Dude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669579041 PECOS PAC ID: 5496752289 Enrollment ID: I20061109000287 |
| Provider Name | Heidi Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558654152 PECOS PAC ID: 0345581609 Enrollment ID: I20190415001122 |
| Provider Name | Wendy Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124674213 PECOS PAC ID: 4385073691 Enrollment ID: I20200408003013 |
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