Active NPIIndividual providerSole proprietor

Annette Kazibwe Nazziwa, LICSW

Social Worker, Clinical in Roxbury, Massachusetts

NPI Number1154670248
Practice location
30 Dimock St, Roxbury, MA 02119
Fax
617-445-9147
Last updated
August 3, 2018

Annette Kazibwe Nazziwa is a Social Worker, Clinical based in Roxbury, MA. Annette Kazibwe Nazziwa practices in Roxbury, MA and has the professional credentials of LICSW. The NPI Number for Annette Kazibwe Nazziwa is 1154670248 and holds a License No. 120801 (MA). The current practice location address for Annette Kazibwe Nazziwa is 30 Dimock St, Roxbury, MA 02119 and can be reached out via phone at 617-989-2938 and via fax at 617-445-9147.

Provider Profile Details

NPI Number
1154670248
Provider Name
Annette Kazibwe Nazziwa
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
30 Dimock St, Roxbury, MA 02119
Phone Number
617-989-2938
Fax Number
617-445-9147
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 5, 2012
Last Update Date
August 3, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Dimock St
Roxbury, MA 02119
Zip
02119
Phone Number
617-989-2938
Fax Number
617-445-9147
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
30 Dimock St
Roxbury, MA 02119-1210
City
Roxbury
State
MA
Zip
02119-1210
Phone Number
617-989-2938
Fax Number
617-445-9147

License Information

License Number (1)
120801
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
218069
License State (2)
MA
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

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 Annette Kazibwe Nazziwa, LICSW?

The NPI number of Annette Kazibwe Nazziwa, LICSW is 1154670248. It was assigned on September 5, 2012 and is currently active in the NPPES registry.

What is the specialty of Annette Kazibwe Nazziwa, LICSW?

Annette Kazibwe Nazziwa, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120801.

Where does Annette Kazibwe Nazziwa, LICSW practice?

The practice location is 30 Dimock St, Roxbury, MA 02119. The office can be reached at 617-989-2938 (phone) or 617-445-9147 (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 1154670248 directly on the NPPES registry website.

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