Active NPIIndividual provider

Anissa Ali, LICSW

Social Worker, Clinical in Beverly, Massachusetts

NPI Number1194008789
Practice location
800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175
Fax
978-927-3724
Last updated
September 12, 2022

Anissa Ali is a Social Worker, Clinical based in Beverly, MA. Anissa Ali practices in Beverly, MA and has the professional credentials of LICSW. The NPI Number for Anissa Ali is 1194008789. The current practice location address for Anissa Ali is 800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175 and can be reached out via phone at 978-921-1190 and via fax at 978-927-3724.

Provider Profile Details

NPI Number
1194008789
Provider Name
Anissa Ali
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175
Phone Number
978-921-1190
Fax Number
978-927-3724
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
September 21, 2011
Last Update Date
September 12, 2022
Certification Date
August 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 Cummings Ctr
Suite 266T
Beverly, MA 01915-6175
Zip
01915-6175
Phone Number
978-921-1190
Fax Number
978-927-3724
Beverly, MA 01915Get directions →

Provider Business Mailing Address Details

Address
1493 Cambridge St
Cambridge, MA 02139-1047
City
Cambridge
State
MA
Zip
02139-1047
Phone Number
617-665-1561

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
Taxonomy (3)
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 Anissa Ali, LICSW?

The NPI number of Anissa Ali, LICSW is 1194008789. It was assigned on September 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Anissa Ali, LICSW?

Anissa Ali, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Anissa Ali, LICSW practice?

The practice location is 800 Cummings Ctr, Suite 266T, Beverly, MA 01915-6175. The office can be reached at 978-921-1190 (phone) or 978-927-3724 (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 1194008789 directly on the NPPES registry website.

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