Antonio Jamaal Wideman , PEER SPECIALIST
Peer Specialist • Mattapan, MA
Professional Overview & Biography Verified Profile Summary
Antonio Wideman, PEER SPECIALIST is a registered healthcare professional specializing in Peer Specialist in Mattapan, MA. Practice services are available at 884 CUMMINS HWY APT 4 under active NPI credentials.
Practice Location & Contact Primary Location
884 Cummins Hwy Apt 4
Mattapan, MA 021262043
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Mattapan, MA
Practicing in Mattapan, MA (294 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-07-28NUCC Taxonomy Code: 175T00000X
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 884 CUMMINS HWY APT 4, MATTAPAN, MA 021262043 (Tel: 6176916034)
Registered at 884 CUMMINS HWY APT 4, MATTAPAN, MA 021262043 (Tel: 6176916034)
Recorded as ANTONIO WIDEMAN, PEER SPECIALIST
Peer Specialist (License #202222 in MA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
884 Cummins Hwy Apt 4
Mattapan, MA 021262043
Phone: 6176916034
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