Melissa Morehouse Licsw Llc | |
100 Cummings Ctr Ste 207p Beverly MA 01915-6104 | |
(978) 768-8221 | |
Not Available |
Full Name | Melissa Morehouse Licsw Llc |
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Speciality | Social Worker |
Location | 100 Cummings Ctr Ste 207p, Beverly, Massachusetts |
Authorized Official Name and Position | Melissa Morehouse (OWNER) |
Authorized Official Contact | 9787688221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Melissa Morehouse Licsw Llc 100 Cummings Ctr Ste 207p Beverly MA 01915-6104 Ph: () - | Melissa Morehouse Licsw Llc 100 Cummings Ctr Ste 207p Beverly MA 01915-6104 Ph: (978) 768-8221 |
NPI Number | 1659931897 |
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Provider Enumeration Date | 06/19/2019 |
Last Update Date | 06/19/2019 |
Medicare PECOS PAC ID | 5890025597 |
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Medicare Enrollment ID | O20190923003168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659931897 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Melissa Anne Morehouse |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821358672 PECOS PAC ID: 8426388125 Enrollment ID: I20190923003304 |
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