Active NPIIndividual provider

Deja L Knudsen, LICSW

Social Worker, Clinical in Woburn, Massachusetts

NPI Number1427719087
Practice location
800 W Cummings Park Ste 5050, Woburn, MA 01801-6372
Fax
617-458-8644
Last updated
November 8, 2026

Deja Lee Knudsen is a Social Worker, Clinical based in Woburn, MA. Deja Lee Knudsen practices in Woburn, MA and has the professional credentials of LICSW. The NPI Number for Deja Lee Knudsen is 1427719087 and holds a License No. LICSW1141759 (MA). The current practice location address for Deja Lee Knudsen is 800 W Cummings Park Ste 5050, Woburn, MA 01801-6372 and can be reached out via phone at 617-302-9171 and via fax at 617-458-8644.

Provider Profile Details

NPI Number
1427719087
Provider Name
Deja Lee Knudsen
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
800 W Cummings Park Ste 5050, Woburn, MA 01801-6372
Phone Number
617-302-9171
Fax Number
617-458-8644
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 6, 2022
Last Update Date
November 8, 2026
Certification Date
November 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
800 W Cummings Park Ste 5050
Woburn, MA 01801-6372
City
Woburn
Zip
01801-6372
Phone Number
617-302-9171
Fax Number
617-458-8644
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
500 W Cummings Park
Woburn, MA 01801-6503
City
Woburn
State
MA
Zip
01801-6503

License Information

License Number
LICSW1141759
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 Deja L Knudsen, LICSW?

The NPI number of Deja L Knudsen, LICSW is 1427719087. It was assigned on January 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Deja L Knudsen, LICSW?

Deja L Knudsen, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number LICSW1141759.

Where does Deja L Knudsen, LICSW practice?

The practice location is 800 W Cummings Park Ste 5050, Woburn, MA 01801-6372. The office can be reached at 617-302-9171 (phone) or 617-458-8644 (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 1427719087 directly on the NPPES registry website.

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