Katherine Canavan, LICSW
Social Worker, Clinical in Jamaica Plain, Massachusetts
1649484387- Practice location
- 31 Heath St, Jamaica Plain, MA 02130-1650
- Phone
- 617-523-6400
- Fax
- 617-523-6400
- Last updated
- June 8, 2009
Katherine Canavan is a Social Worker, Clinical based in Jamaica Plain, MA. Katherine Canavan practices in Jamaica Plain, MA and has the professional credentials of LICSW. The NPI Number for Katherine Canavan is 1649484387 and holds a License No. 114332 (MA). The current practice location address for Katherine Canavan is 31 Heath St, Jamaica Plain, MA 02130-1650 and can be reached out via phone at 617-523-6400 and via fax at 617-523-6400.
Provider Profile Details
- NPI Number
- 1649484387
- Provider Name
- Katherine Canavan
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 31 Heath St, Jamaica Plain, MA 02130-1650
- Phone Number
- 617-523-6400
- Fax Number
- 617-523-6400
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 10, 2007
- Last Update Date
- June 8, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Heath St
Jamaica Plain, MA 02130-1650 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-1650
- Phone Number
- 617-523-6400
- Fax Number
- 617-523-6400
Provider Business Mailing Address Details
- Address
- 62 Clarendon St
Apt 8
Boston, MA 02116-6027 - City
- Boston
- State
- MA
- Zip
- 02116-6027
- Phone Number
- 617-388-4194
- Fax Number
- 617-388-4194
License Information
- License Number
- 114332
- 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. | |||
Other Social Worker, Clinical providers near Jamaica Plain, MA
View all Social Worker, Clinical providers in Jamaica Plain →- 635 Community Health CollectiveSocial Worker, Clinical · NPI 1558074088
- Allison ColeSocial Worker, Clinical · NPI 1124844543
- Amanda Welty, LICSWSocial Worker, Clinical · NPI 1790390771
- Amy Vogt Counseling, LLCSocial Worker, Clinical · NPI 1528918083
- Ana Klett, LICSWSocial Worker, Clinical · NPI 1114331998
- Angela DepaolisSocial Worker, Clinical · NPI 1427405398
Frequently Asked Questions
What is the NPI number of Katherine Canavan, LICSW?
The NPI number of Katherine Canavan, LICSW is 1649484387. It was assigned on May 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Katherine Canavan, LICSW?
Katherine Canavan, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 114332.
Where does Katherine Canavan, LICSW practice?
The practice location is 31 Heath St, Jamaica Plain, MA 02130-1650. The office can be reached at 617-523-6400 (phone) or 617-523-6400 (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 1649484387 directly on the NPPES registry website.