Active NPIIndividual providerSole proprietor

Mrs. Laci L Gentry, LCSW

Social Worker, Clinical in Jamaica Plain, Massachusetts

NPI Number1457540866
Practice location
555 Amory St, Jamaica Plain, MA 02130-2652
Fax
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Last updated
October 22, 2007

Laci Lucille Gentry is a Social Worker, Clinical based in Jamaica Plain, MA. Laci Lucille Gentry practices in Jamaica Plain, MA and has the professional credentials of LCSW. The NPI Number for Laci Lucille Gentry is 1457540866 and holds a License No. 214386 (MA). The current practice location address for Laci Lucille Gentry is 555 Amory St, Jamaica Plain, MA 02130-2652 and can be reached out via phone at 617-522-6700.

Provider Profile Details

NPI Number
1457540866
Provider Name
Laci Lucille Gentry
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
555 Amory St, Jamaica Plain, MA 02130-2652
Phone Number
617-522-6700
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 22, 2007
Last Update Date
October 22, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Amory St
Jamaica Plain, MA 02130-2652
Zip
02130-2652
Phone Number
617-522-6700
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
40 Belmont St # 1
Somerville, MA 02143-2535
City
Somerville
State
MA
Zip
02143-2535
Phone Number
502-298-2799

License Information

License Number
214386
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 Mrs. Laci L Gentry, LCSW?

The NPI number of Mrs. Laci L Gentry, LCSW is 1457540866. It was assigned on October 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Laci L Gentry, LCSW?

Mrs. Laci L Gentry, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 214386.

Where does Mrs. Laci L Gentry, LCSW practice?

The practice location is 555 Amory St, Jamaica Plain, MA 02130-2652. The office can be reached at 617-522-6700 (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 1457540866 directly on the NPPES registry website.

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