Elliott, Richard W.
Elliott, Richard W. is an individual health care provider with primary practice located at 1250 Hancock St , Quincy MA 02169-4339. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Elliott, Richard W. can be contacted via phone (617) 774-0920.Contact Information
Primary practice address
1250 Hancock St
Quincy MA 02169-4339
Phone: (617) 774-0920
Fax: (617) 774-0925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106557 | Massachusetts |
Profile Details
| NPI number | 1114972452 |
|---|---|
| LBN Legal business name | Elliott, Richard W. |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Feb 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114972452 | NPPES |
| Massachusetts | Other | PO4142 | BLUE CROSS |
| Massachusetts | Other | 669497 | BLUE CROSS |
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