Healthcare Provider Details
I. General information
NPI: 1962161463
Provider Name (Legal Business Name): CMS ADVOCATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/12/2021
Last Update Date: 12/12/2021
Certification Date: 12/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 OLD DERBY ST
HINGHAM MA
02043-4005
US
IV. Provider business mailing address
121 TEMPLEWOOD DR
DUXBURY MA
02332-2914
US
V. Phone/Fax
- Phone: 888-297-6967
- Fax: 888-297-6967
- Phone: 888-297-6967
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0808X |
| Taxonomy | Psychiatric/Mental Health Registered Nurse |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MAURA
S
DAVIS
Title or Position: OWNER
Credential: APRN,CNP
Phone: 781-589-8929