Provider Demographics
NPI:1154547941
Name:HEALTH AND SOCIAL SERVICES CONSORTIUM, INC.
Entity type:Organization
Organization Name:HEALTH AND SOCIAL SERVICES CONSORTIUM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MCDERMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-784-4944
Mailing Address - Street 1:1 MERCHANT ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1662
Mailing Address - Country:US
Mailing Address - Phone:781-784-4944
Mailing Address - Fax:781-784-4922
Practice Address - Street 1:1 MERCHANT ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1662
Practice Address - Country:US
Practice Address - Phone:781-784-4944
Practice Address - Fax:781-784-4922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0604216Medicaid