MEDICARE: ELISABETH S BUCHANAN LICSW

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
1	104100000X	Social Worker	38523	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	87443Q	OTHER	TX	BCBS TEXAS

General Provider Information

NPI Number	:	1285636159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELISABETH S BUCHANAN LICSW

Provider Business Mailing Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4817
Country	:	US
Telephone Number	:	857-364-2226
Fax Number	:	857-364-2226

Provider Business Practice Location Address
First Line	:	150 S HUNTINGTON AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02130-4817
Country	:	US
Telephone Number	:	857-364-2226
Fax Number	:	857-364-2226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	09/21/2020

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1265364541 — SOPHIE PAIGE EISENBACH DC
Practice Location Address:

150 S HUNTINGTON AVE
BOSTON, MA
02130-4817

Practice Phone: 617-232-9500
Practice Fax:

1972500429 — DR. THOMAS PETER FANTES MD
Practice Location Address:

150 S HUNTINGTON AVE
BOSTON, MA
02130-4817

Practice Phone: 857-364-4418
Practice Fax:

1013903152 — PAUL S DESILLIER PAC
Practice Location Address:

150 S HUNTINGTON AVE RM 42
BOSTON, MA
02130-4817

Practice Phone: 857-364-4720
Practice Fax: 857-364-2033

1841274594 — MICHAEL ANTHONY DAWES MD
Practice Location Address:

150 S HUNTINGTON AVE
BOSTON, MA
02130-4817

Practice Phone: 210-426-8458
Practice Fax:

1669459723 — JOSEPH P. RAFFERTY JR. MD
Practice Location Address:

150 S HUNTINGTON AVE
BOSTON, MA
02130-4817

Practice Phone: 857-364-3608
Practice Fax:

Directions to “ ELISABETH S BUCHANAN LICSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.