| The Counseling Center Of Child Development, In | |
|
10 Cabot Road Suite 101 Medford MA 02155 | |
| (718) 393-5150 | |
| (781) 393-5169 |
| Full Name | The Counseling Center Of Child Development, In |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10 Cabot Road, Medford, Massachusetts |
| Authorized Official Name and Position | Ann B. Fitzgerald (CLINIC DIRECTOR) |
| Authorized Official Contact | 7813935150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Counseling Center Of Child Development, In 10 Cabot Road Suite 101 Medford MA 02155 Ph: (781) 393-5150 | The Counseling Center Of Child Development, In 10 Cabot Road Suite 101 Medford MA 02155 Ph: (718) 393-5150 |
| NPI Number | 1518164508 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 06/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518164508 | NPI | - | NPPES |
| 1518164508 | Other | MA | MBHP |
| 1518164508 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| 963959-01 | Other | MA | NETWORK |
| 288472 | Other | MA | TUFTS HEALTH PLAN |
| 1031830 | Other | MA | BEACON HEALTH STRATEGIES (NHP) |
| 1518164508 | Other | MA | BEACON (BMC) |
| 110081507B | Medicaid | MA | |
| 0015666 | Other | MA | MEDICARE |
| 1518164508 | Other | MA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 404J (Massachusetts) | Primary |
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