Active NPIIndividual provider

Alexandra S Avedisian

Social Worker, Clinical in Brockton, Massachusetts

NPI Number1235269960
Practice location
63 Main St, Brockton, MA 02301-4042
Fax
508-583-4649
Last updated
June 11, 2010

Alexandra S Avedisian is a Social Worker, Clinical based in Brockton, MA. Alexandra S Avedisian practices in Brockton, MA. The NPI Number for Alexandra S Avedisian is 1235269960 and holds a License No. 210020 (MA). The current practice location address for Alexandra S Avedisian is 63 Main St, Brockton, MA 02301-4042 and can be reached out via phone at 508-559-6699 and via fax at 508-583-4649.

Provider Profile Details

NPI Number
1235269960
Provider Name
Alexandra S Avedisian
Provider Entity Type
Individual
Gender
Female
Address
63 Main St, Brockton, MA 02301-4042
Phone Number
508-559-6699
Fax Number
508-583-4649
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2007
Last Update Date
June 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
63 Main St
Brockton, MA 02301-4042
Zip
02301-4042
Phone Number
508-559-6699
Fax Number
508-583-4649
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
63 Main St
Brockton, MA 02301-4042
City
Brockton
State
MA
Zip
02301-4042
Phone Number
508-559-6699
Fax Number
508-559-5073

License Information

License Number
210020
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 Alexandra S Avedisian?

The NPI number of Alexandra S Avedisian is 1235269960. It was assigned on March 6, 2007 and is currently active in the NPPES registry.

What is the specialty of Alexandra S Avedisian?

Alexandra S Avedisian is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 210020.

Where does Alexandra S Avedisian practice?

The practice location is 63 Main St, Brockton, MA 02301-4042. The office can be reached at 508-559-6699 (phone) or 508-583-4649 (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 1235269960 directly on the NPPES registry website.

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