Active NPIIndividual providerSole proprietor

Allison N Wade, LICSW

Social Worker, Clinical in Hyde Park, Massachusetts

NPI Number1619169117
Practice location
20A Business Ter, Hyde Park, MA 02136-2158
Fax
—
Last updated
August 17, 2007

Allison N Wade is a Social Worker, Clinical based in Hyde Park, MA. Allison N Wade practices in Hyde Park, MA and has the professional credentials of LICSW. The NPI Number for Allison N Wade is 1619169117 and holds a License No. 114102 (MA). The current practice location address for Allison N Wade is 20A Business Ter, Hyde Park, MA 02136-2158 and can be reached out via phone at 617-910-9774.

Provider Profile Details

NPI Number
1619169117
Provider Name
Allison N Wade
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
20A Business Ter, Hyde Park, MA 02136-2158
Phone Number
617-910-9774
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 17, 2007
Last Update Date
August 17, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
20A Business Ter
Hyde Park, MA 02136-2158
Zip
02136-2158
Phone Number
617-910-9774
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
20A Business Ter
Hyde Park, MA 02136-2158
City
Hyde Park
State
MA
Zip
02136-2158
Phone Number
617-910-9774

License Information

License Number (1)
114102
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X · Primary
License Number (2)
114102
License State (2)
MA
Taxonomy (2)
Social Worker, School · 1041S0200X

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 Allison N Wade, LICSW?

The NPI number of Allison N Wade, LICSW is 1619169117. It was assigned on August 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Allison N Wade, LICSW?

Allison N Wade, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114102.

Where does Allison N Wade, LICSW practice?

The practice location is 20A Business Ter, Hyde Park, MA 02136-2158. The office can be reached at 617-910-9774 (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 1619169117 directly on the NPPES registry website.

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