Active NPIOrganization

The Counseling Center Of Child Development, In

Social Worker, Clinical in Medford, Massachusetts

NPI Number1518164508
Practice location
10 Cabot Road, Suite 101, Medford, MA 02155
Fax
781-393-5169
Last updated
June 1, 2012

The Counseling Center Of Child Development, In is a healthcare organization based in Medford, MA. The Counseling Center Of Child Development, In practices in Medford, MA. The NPI Number for The Counseling Center Of Child Development, In is 1518164508 and holds a License No. 404J (MA). The current practice location address for The Counseling Center Of Child Development, In is 10 Cabot Road, Suite 101, Medford, MA 02155 and can be reached out via phone at 718-393-5150 and via fax at 781-393-5169.

Provider Profile Details

NPI Number
1518164508
Provider Name
The Counseling Center Of Child Development, In
Provider Entity Type
Organization
Address
10 Cabot Road, Suite 101, Medford, MA 02155
Phone Number
718-393-5150
Fax Number
781-393-5169
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
Yes
Parent Organization
Child Development And Education, INC.
Authorized Official
Ann B. Fitzgerald, LICSW · Clinic Director · 781-393-5150
Other Names
The Counseling Center Of Child Development And Education, Inc./Child D (Former Legal Business Name)
Provider Enumeration Date
July 2, 2007
Last Update Date
June 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Cabot Road
Suite 101
Medford, MA 02155
Zip
02155
Phone Number
718-393-5150
Fax Number
781-393-5169
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
10 Cabot Road
Suite 101
Medford, MA 02155
City
Medford
State
MA
Zip
02155
Phone Number
781-393-5150
Fax Number
781-393-5169

License Information

Taxonomy (1)
Social Worker, Clinical · 1041C0700X
License Number (2)
404J
License State (2)
MA
Taxonomy (2)
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 The Counseling Center Of Child Development, In?

The NPI number of The Counseling Center Of Child Development, In is 1518164508. It was assigned on July 2, 2007 and is currently active in the NPPES registry.

What is the specialty of The Counseling Center Of Child Development, In?

The Counseling Center Of Child Development, In is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 404J.

Where does The Counseling Center Of Child Development, In practice?

The practice location is 10 Cabot Road, Suite 101, Medford, MA 02155. The office can be reached at 718-393-5150 (phone) or 781-393-5169 (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 1518164508 directly on the NPPES registry website.

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