| Responders Refuge | |
|
1200 Converse Street Room B Of Suite L1 Longmeadow MA 01106 | |
| (413) 435-6036 | |
| Not Available |
| Full Name | Responders Refuge |
|---|---|
| Speciality | Social Worker |
| Location | 1200 Converse Street, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Richard Winning (CEO/LEAD CLINICIAN) |
| Authorized Official Contact | 6176944080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Responders Refuge 165 Prospect St East Longmeadow MA 01028-2824 Ph: (413) 435-6036 | Responders Refuge 1200 Converse Street Room B Of Suite L1 Longmeadow MA 01106 Ph: (413) 435-6036 |
| NPI Number | 1316711385 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 7315387255 |
|---|---|
| Medicare Enrollment ID | O20240425002946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316711385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard E Winning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386014256 PECOS PAC ID: 7416343082 Enrollment ID: I20220407000661 |
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