| Topside Counseling Llc | |
|
204 Lafayette St Ste 1-e Salem MA 01970-4721 | |
| (781) 990-6773 | |
| Not Available |
| Full Name | Topside Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 204 Lafayette St Ste 1-e, Salem, Massachusetts |
| Authorized Official Name and Position | Brooke Wilson (OWNER) |
| Authorized Official Contact | 7818837899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Topside Counseling Llc 204 Lafayette St Ste 1-e Salem MA 01970-4721 Ph: (781) 990-6773 | Topside Counseling Llc 204 Lafayette St Ste 1-e Salem MA 01970-4721 Ph: (781) 990-6773 |
| NPI Number | 1598436420 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 9931598984 |
|---|---|
| Medicare Enrollment ID | O20211111002653 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598436420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brooke Parker Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598074502 PECOS PAC ID: 4789097353 Enrollment ID: I20201229001490 |
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