| North Star Counseling Llc | |
|
37 1/2 Forrester St Professional Building Newburyport MA 01950-1938 | |
| (978) 465-5033 | |
| (978) 465-5034 |
| Full Name | North Star Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 37 1/2 Forrester St, Newburyport, Massachusetts |
| Authorized Official Name and Position | Sharon Gantman (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9784655033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Counseling Llc Po Box 276 Newburyport MA 01950-0376 Ph: (978) 465-5033 | North Star Counseling Llc 37 1/2 Forrester St Professional Building Newburyport MA 01950-1938 Ph: (978) 465-5033 |
| NPI Number | 1750394219 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012969520 |
|---|---|
| Medicare Enrollment ID | O20050214000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750394219 | NPI | - | NPPES |
| P10379 | Other | MA | BCBSMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1023367 (Massachusetts) | Primary |
| Provider Name | Sharon B Gantman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780624924 PECOS PAC ID: 4880646397 Enrollment ID: I20050217000098 |
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