Active NPIIndividual provider

Santiago A Carvallo, MSW

Social Worker, Clinical in Chelsea, Massachusetts

NPI Number1124304720
Practice location
301 Broadway, Chelsea, MA 02150-2807
Fax
—
Last updated
October 26, 2011

Santiago Alfonso Carvallo is a Social Worker, Clinical based in Chelsea, MA. Santiago Alfonso Carvallo practices in Chelsea, MA and has the professional credentials of MSW. The NPI Number for Santiago Alfonso Carvallo is 1124304720 and holds a License No. s77142590 (MA). The current practice location address for Santiago Alfonso Carvallo is 301 Broadway, Chelsea, MA 02150-2807 and can be reached out via phone at 617-889-4860.

Provider Profile Details

NPI Number
1124304720
Provider Name
Santiago Alfonso Carvallo
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
301 Broadway, Chelsea, MA 02150-2807
Phone Number
617-889-4860
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 26, 2011
Last Update Date
October 26, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Broadway
Chelsea, MA 02150-2807
Zip
02150-2807
Phone Number
617-889-4860
Chelsea, MA 02150Get directions →

Provider Business Mailing Address Details

Address
44 Touro Ave
Medford, MA 02155-7124
City
Medford
State
MA
Zip
02155-7124
Phone Number
617-331-7674

License Information

License Number
s77142590
License State
MA
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Santiago A Carvallo, MSW?

The NPI number of Santiago A Carvallo, MSW is 1124304720. It was assigned on October 26, 2011 and is currently active in the NPPES registry.

What is the specialty of Santiago A Carvallo, MSW?

Santiago A Carvallo, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number s77142590.

Where does Santiago A Carvallo, MSW practice?

The practice location is 301 Broadway, Chelsea, MA 02150-2807. The office can be reached at 617-889-4860 (phone).

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 1124304720 directly on the NPPES registry website.

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