Wayside Youth & Family Support Network
Social Worker, Clinical in Malden, Massachusetts
1104977131- Practice location
- 22 Pleasant St, 2205, Malden, MA 02148-5119
- Phone
- 781-338-2640
- Fax
- 781-338-2217
- Last updated
- August 22, 2020
Wayside Youth & Family Support Network is a healthcare organization based in Malden, MA. Wayside Youth & Family Support Network practices in Malden, MA. The NPI Number for Wayside Youth & Family Support Network is 1104977131 and holds a License No. 104386 (MA). The current practice location address for Wayside Youth & Family Support Network is 22 Pleasant St, 2205, Malden, MA 02148-5119 and can be reached out via phone at 781-338-2640 and via fax at 781-338-2217.
Provider Profile Details
- NPI Number
- 1104977131
- Provider Name
- Wayside Youth & Family Support Network
- Provider Entity Type
- Organization
- Address
- 22 Pleasant St, 2205, Malden, MA 02148-5119
- Phone Number
- 781-338-2640
- Fax Number
- 781-338-2217
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Organization Subpart
- No
- Authorized Official
- Ms. Andrea Salzman, LICSW · Director Of Home Base Program · 781-891-0556
- Provider Enumeration Date
- January 16, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Pleasant St
2205
Malden, MA 02148-5119 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-5119
- Phone Number
- 781-338-2640
- Fax Number
- 781-338-2217
Provider Business Mailing Address Details
- Address
- 22 Pleasant St
2205
Malden, MA 02148-5119 - City
- Malden
- State
- MA
- Zip
- 02148-5119
- Phone Number
- 781-338-2640
- Fax Number
- 781-338-2217
License Information
- License Number
- 104386
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wayside Youth & Family Support Network?
The NPI number of Wayside Youth & Family Support Network is 1104977131. It was assigned on January 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Wayside Youth & Family Support Network?
Wayside Youth & Family Support Network is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 104386.
Where does Wayside Youth & Family Support Network practice?
The practice location is 22 Pleasant St, 2205, Malden, MA 02148-5119. The office can be reached at 781-338-2640 (phone) or 781-338-2217 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104977131 directly on the NPPES registry website.