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NPI Code Detail

MEDICARE: MR. JOSEPH ROBERT WINN MSW

MEDICARE: MR. JOSEPH ROBERT WINN MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1028690MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27052259OTHERMAAETNA
3P08030OTHERMABLUE CROSS BLUE SHIELD MA
4P08030OTHERMAPERSONAL HELP CONNECTION

General Provider Information

NPI Number : 1568452480
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH ROBERT WINN MSW
Provider Business Mailing Address
First Line : 15 WALTHAM ST
Second Line :
City : MAYNARD
State : MA
Zip : 01754-2411
Country : US
Telephone Number : 978-897-4242
Fax Number : 978-897-4713
Provider Business Practice Location Address
First Line : 226 MASSACHUSETTS AVE
Second Line : SUITE NUMBER 3
City : ARLINGTON
State : MA
Zip : 02474-8435
Country : US
Telephone Number : 617-461-8479
Fax Number : 978-897-4713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 07/09/2007

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