| Mary C. Tarvin, Licsw | |
|
1 Walpole St Suite 1 Norwood MA 02062-3315 | |
| (781) 414-2247 | |
| (781) 352-3996 |
| Full Name | Mary C. Tarvin, Licsw |
|---|---|
| Speciality | Social Worker |
| Location | 1 Walpole St, Norwood, Massachusetts |
| Authorized Official Name and Position | Mary C. Tarvin (PRESIDENT) |
| Authorized Official Contact | 6176964791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C. Tarvin, Licsw 5 Byrne Rd Milton MA 02186-1703 Ph: (617) 696-4791 | Mary C. Tarvin, Licsw 1 Walpole St Suite 1 Norwood MA 02062-3315 Ph: (781) 414-2247 |
| NPI Number | 1003360603 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/13/2016 |
| Medicare PECOS PAC ID | 8820375371 |
|---|---|
| Medicare Enrollment ID | O20170510000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003360603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 114647 (Massachusetts) | Primary |
| Provider Name | Mary Tarvin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689128183 PECOS PAC ID: 2365710654 Enrollment ID: I20170510000958 |
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