Ilanarei R Goss, LICSW
Social Worker, Clinical in Malden, Massachusetts
1619282159- Practice location
- 380 Pleasant St, Ste 11, Malden, MA 02148-8127
- Phone
- 617-955-6519
- Fax
- 339-674-3017
- Last updated
- November 19, 2018
Ilanarei Rachael Goss is a Social Worker, Clinical based in Malden, MA. Ilanarei Rachael Goss practices in Malden, MA and has the professional credentials of LICSW. The NPI Number for Ilanarei Rachael Goss is 1619282159 and holds a License No. 113268 (MA). The current practice location address for Ilanarei Rachael Goss is 380 Pleasant St, Ste 11, Malden, MA 02148-8127 and can be reached out via phone at 617-955-6519 and via fax at 339-674-3017.
Provider Profile Details
- NPI Number
- 1619282159
- Provider Name
- Ilanarei Rachael Goss
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 380 Pleasant St, Ste 11, Malden, MA 02148-8127
- Phone Number
- 617-955-6519
- Fax Number
- 339-674-3017
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Other Names
- -- Ilana Tavan (Former Name)
- Provider Enumeration Date
- August 9, 2010
- Last Update Date
- November 19, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 380 Pleasant St
Ste 11
Malden, MA 02148-8127 - City
- Malden
- State
- Massachusetts
- Zip
- 02148-8127
- Phone Number
- 617-955-6519
- Fax Number
- 339-674-3017
Provider Business Mailing Address Details
- Address
- 380 Pleasant St
Ste 11
Malden, MA 02148-8127 - City
- Malden
- State
- MA
- Zip
- 02148-8127
- Phone Number
- 617-955-6519
- Fax Number
- 339-674-3017
License Information
- License Number
- 113268
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · 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 Ilanarei R Goss, LICSW?
The NPI number of Ilanarei R Goss, LICSW is 1619282159. It was assigned on August 9, 2010 and is currently active in the NPPES registry.
What is the specialty of Ilanarei R Goss, LICSW?
Ilanarei R Goss, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113268.
Where does Ilanarei R Goss, LICSW practice?
The practice location is 380 Pleasant St, Ste 11, Malden, MA 02148-8127. The office can be reached at 617-955-6519 (phone) or 339-674-3017 (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 1619282159 directly on the NPPES registry website.