| The Psychotherapy Group Of Carey Driscoll | |
|
68 Tremont St Charlestown MA 02129-3127 | |
| (978) 317-2992 | |
| Not Available |
| Full Name | The Psychotherapy Group Of Carey Driscoll |
|---|---|
| Speciality | Social Worker |
| Location | 68 Tremont St, Charlestown, Massachusetts |
| Authorized Official Name and Position | Carey Driscoll (OWNER) |
| Authorized Official Contact | 9783172992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Psychotherapy Group Of Carey Driscoll 68 Tremont St Charlestown MA 02129-3127 Ph: () - | The Psychotherapy Group Of Carey Driscoll 68 Tremont St Charlestown MA 02129-3127 Ph: (978) 317-2992 |
| NPI Number | 1326650748 |
|---|---|
| Provider Enumeration Date | 08/18/2020 |
| Last Update Date | 07/30/2024 |
| Certification Date | 12/02/2022 |
| Medicare PECOS PAC ID | 3476923913 |
|---|---|
| Medicare Enrollment ID | O20221228001128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326650748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Elena Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629603402 PECOS PAC ID: 0345610887 Enrollment ID: I20221228001271 |
| Provider Name | Catherine Mary Horkan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265905731 PECOS PAC ID: 0042680597 Enrollment ID: I20221228001426 |
| Provider Name | Brianna Mangano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255830550 PECOS PAC ID: 6002286556 Enrollment ID: I20221228001622 |
| Provider Name | Carey Driscoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750715603 PECOS PAC ID: 5193195634 Enrollment ID: I20230117001934 |
| Provider Name | Dena Driscoll |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881274488 PECOS PAC ID: 2668843244 Enrollment ID: I20230118000997 |
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