Active NPIIndividual provider

Mr. Keith H Mantel, LICSW

Social Worker, Clinical in South Boston, Massachusetts

NPI Number1356351118
Practice location
409 W Broadway, South Boston, MA 02127-2245
Fax
—
Last updated
November 6, 2018

Keith Howard Mantel is a Social Worker, Clinical based in South Boston, MA. Keith Howard Mantel practices in South Boston, MA and has the professional credentials of LICSW. The NPI Number for Keith Howard Mantel is 1356351118 and holds a License No. 117738 (MA). The current practice location address for Keith Howard Mantel is 409 W Broadway, South Boston, MA 02127-2245 and can be reached out via phone at 617-269-7500.

Provider Profile Details

NPI Number
1356351118
Provider Name
Keith Howard Mantel
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
409 W Broadway, South Boston, MA 02127-2245
Phone Number
617-269-7500
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2006
Last Update Date
November 6, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
409 W Broadway
South Boston, MA 02127-2245
Zip
02127-2245
Phone Number
617-269-7500
South Boston, MA 02127Get directions →

Provider Business Mailing Address Details

Address
409 W Broadway
South Boston, MA 02127-2245
City
South Boston
State
MA
Zip
02127-2245
Phone Number
617-269-7500

License Information

License Number
117738
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 Mr. Keith H Mantel, LICSW?

The NPI number of Mr. Keith H Mantel, LICSW is 1356351118. It was assigned on August 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Keith H Mantel, LICSW?

Mr. Keith H Mantel, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 117738.

Where does Mr. Keith H Mantel, LICSW practice?

The practice location is 409 W Broadway, South Boston, MA 02127-2245. The office can be reached at 617-269-7500 (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 1356351118 directly on the NPPES registry website.

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