Elizabeth T Southall, LICSW
Social Worker in Hanover, Massachusetts
1225211436- Practice location
- 720 Washington St Ste 603, Hanover, MA 02339-2476
- Phone
- 617-306-2748
- Fax
- —
- Last updated
- October 19, 2021
Elizabeth Taleas Southall is a Social Worker based in Hanover, MA. Elizabeth Taleas Southall practices in Hanover, MA and has the professional credentials of LICSW. The NPI Number for Elizabeth Taleas Southall is 1225211436 and holds a License No. 212052 (MA). The current practice location address for Elizabeth Taleas Southall is 720 Washington St Ste 603, Hanover, MA 02339-2476 and can be reached out via phone at 617-306-2748.
Provider Profile Details
- NPI Number
- 1225211436
- Provider Name
- Elizabeth Taleas Southall
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 720 Washington St Ste 603, Hanover, MA 02339-2476
- Phone Number
- 617-306-2748
- Primary Taxonomy
- Social Worker · 104100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 11, 2007
- Last Update Date
- October 19, 2021
- Certification Date
- October 19, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 720 Washington St Ste 603
Hanover, MA 02339-2476 - City
- Hanover
- State
- Massachusetts
- Zip
- 02339-2476
- Phone Number
- 617-306-2748
Provider Business Mailing Address Details
- Address
- Po Box 934
Hanover, MA 02339-0934 - City
- Hanover
- State
- MA
- Zip
- 02339-0934
- Phone Number
- 617-552-5124
- Fax Number
- 888-317-2641
License Information
- License Number
- 212052
- License State
- MA
- Taxonomy
- Social Worker · 104100000X · 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 Elizabeth T Southall, LICSW?
The NPI number of Elizabeth T Southall, LICSW is 1225211436. It was assigned on December 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Elizabeth T Southall, LICSW?
Elizabeth T Southall, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 212052.
Where does Elizabeth T Southall, LICSW practice?
The practice location is 720 Washington St Ste 603, Hanover, MA 02339-2476. The office can be reached at 617-306-2748 (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 1225211436 directly on the NPPES registry website.