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NPI Code Detail

MEDICARE: FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.

MEDICARE: FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
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
1101YA0400XAddiction (Substance Use Disorder) CounselorNONEMA
2103TC0700XClinical Psychologist4263MA
3104100000XSocial Worker4263MA
41041C0700XClinical Social Worker4263MA
52084P0800XPsychiatry Physician4263MA
62084P0804XChild & Adolescent Psychiatry Physician4263MA
7364SP0807XChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist4263MA
8364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist4263MA
9101YM0800XMental Health Counselor4263MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144219551
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER, INC.
Provider Business Mailing Address
First Line : PO BOX 70
Second Line :
City : FALL RIVER
State : MA
Zip : 02722-0070
Country : US
Telephone Number : 508-678-7542
Fax Number : 508-676-3699
Provider Business Practice Location Address
First Line : 151 ROCK ST
Second Line :
City : FALL RIVER
State : MA
Zip : 02720-3201
Country : US
Telephone Number : 508-678-7542
Fax Number : 508-676-3699
Authorized Official
Title or Position : CEO
Name : MS. CAROL A. NAGLE
Credential :
Telephone Number : 508-730-1138
Provider Enumeration Date : 10/18/2005
Last Update Date : 03/31/2008

Similar Medicare Providers

1174536510 — MS. CORY OLIVEIRA LICSW
Practice Location Address:
151 ROCK ST
FALL RIVER, MA
02720-3201
Practice Phone: 508-678-7542
Practice Fax: 508-676-3699
1942246426 — MRS. MIRTA LILIANA TEDESCO SOUZA MS
Practice Location Address:
151 ROCK ST
FALL RIVER, MA
02720-3201
Practice Phone: 508-678-7542
Practice Fax:
1366479081 — MR. MARK KEANG LY M. ED.
Practice Location Address:
151 ROCK ST
FALL RIVER, MA
02720-3201
Practice Phone: 508-678-7542
Practice Fax: 508-676-3699
1679502876 — MS. MICHELLE AMARAL LICSW
Practice Location Address:
151 ROCK ST
FALL RIVER, MA
02720-3201
Practice Phone: 508-678-7542
Practice Fax: 508-676-3699
1538198429 — MS. SARAH TRAVASSOS
Practice Location Address:
151 ROCK ST
FALL RIVER, MA
02720-3201
Practice Phone: 508-678-7542
Practice Fax: 508-676-3699
1437189248 — MS. LYNN C ABBEY LICSW
Practice Location Address:
151 ROCK ST
FALL RIVER, MA
02720-3201
Practice Phone: 508-678-7542
Practice Fax: 508-676-3699

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