Annette S Mallen, LCSW
Counselor, Mental Health in Medford, Massachusetts
1407947989- Practice location
- 151 Mystic Ave, Medford, MA 02155-4632
- Phone
- 781-396-1199
- Fax
- 781-396-1439
- Last updated
- July 8, 2007
Annette S Mallen is a Counselor, Mental Health based in Medford, MA. Annette S Mallen practices in Medford, MA and has the professional credentials of LCSW. The NPI Number for Annette S Mallen is 1407947989 and holds a License No. 207323 (MA). The current practice location address for Annette S Mallen is 151 Mystic Ave, Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439.
Provider Profile Details
- NPI Number
- 1407947989
- Provider Name
- Annette S Mallen
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 151 Mystic Ave, Medford, MA 02155-4632
- Phone Number
- 781-396-1199
- Fax Number
- 781-396-1439
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Other Names
- -- Annette S Lemieux-St.george (Former Name)
- Provider Enumeration Date
- September 27, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 151 Mystic Ave
Medford, MA 02155-4632 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4632
- Phone Number
- 781-396-1199
- Fax Number
- 781-396-1439
Provider Business Mailing Address Details
- Address
- 5 High St
South Dartmouth, MA 02748-3808 - City
- South Dartmouth
- State
- MA
- Zip
- 02748-3808
- Phone Number
- 508-942-1103
- Fax Number
- 781-396-1439
License Information
- License Number
- 207323
- License State
- MA
- Taxonomy
- Counselor, Mental Health · 101YM0800X · 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 Annette S Mallen, LCSW?
The NPI number of Annette S Mallen, LCSW is 1407947989. It was assigned on September 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Annette S Mallen, LCSW?
Annette S Mallen, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 207323.
Where does Annette S Mallen, LCSW practice?
The practice location is 151 Mystic Ave, Medford, MA 02155-4632. The office can be reached at 781-396-1199 (phone) or 781-396-1439 (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 1407947989 directly on the NPPES registry website.