| Suzanne Kresiak Llc | |
|
152 North St Ste 140 Pittsfield MA 01201-4938 | |
| (413) 358-3551 | |
| (413) 961-5455 |
| Full Name | Suzanne Kresiak Llc |
|---|---|
| Speciality | Social Worker |
| Location | 152 North St Ste 140, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Suzanne Kresiak (OWNER) |
| Authorized Official Contact | 4133583551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Kresiak Llc 152 North St Ste 140 Pittsfield MA 01201-4938 Ph: (413) 358-3551 | Suzanne Kresiak Llc 152 North St Ste 140 Pittsfield MA 01201-4938 Ph: (413) 358-3551 |
| NPI Number | 1205461795 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 11/03/2020 |
| Certification Date | 11/03/2020 |
| Medicare PECOS PAC ID | 6608205703 |
|---|---|
| Medicare Enrollment ID | O20200409003129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205461795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Suzanne M Kresiak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992784276 PECOS PAC ID: 1850325481 Enrollment ID: I20051011000386 |
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