Active NPIIndividual provider

Faith W Breisblatt, MSW, LICSW

Social Worker, Clinical in Brookline, Massachusetts

NPI Number1740795004
Practice location
1470 Beacon St Apt A, Brookline, MA 02446-2613
Fax
617-487-4909
Last updated
March 12, 2020

Faith Wood Breisblatt is a Social Worker, Clinical based in Brookline, MA. Faith Wood Breisblatt practices in Brookline, MA and has the professional credentials of MSW, LICSW. The NPI Number for Faith Wood Breisblatt is 1740795004 and holds a License No. 120673 (MA). The current practice location address for Faith Wood Breisblatt is 1470 Beacon St Apt A, Brookline, MA 02446-2613 and can be reached out via phone at 617-487-4909 and via fax at 617-487-4909.

Provider Profile Details

NPI Number
1740795004
Provider Name
Faith Wood Breisblatt
Credential
MSW, LICSW
Provider Entity Type
Individual
Gender
Female
Address
1470 Beacon St Apt A, Brookline, MA 02446-2613
Phone Number
617-487-4909
Fax Number
617-487-4909
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2017
Last Update Date
March 12, 2020
Certification Date
March 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1470 Beacon St Apt A
Brookline, MA 02446-2613
Zip
02446-2613
Phone Number
617-487-4909
Fax Number
617-487-4909
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
21 Tileston St Apt 4
Boston, MA 02113-1965
City
Boston
State
MA
Zip
02113-1965
Phone Number
602-312-0703

License Information

License Number
120673
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.

Other Social Worker, Clinical providers near Brookline, MA

View all Social Worker, Clinical providers in Brookline →

Frequently Asked Questions

What is the NPI number of Faith W Breisblatt, MSW, LICSW?

The NPI number of Faith W Breisblatt, MSW, LICSW is 1740795004. It was assigned on December 8, 2017 and is currently active in the NPPES registry.

What is the specialty of Faith W Breisblatt, MSW, LICSW?

Faith W Breisblatt, MSW, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 120673.

Where does Faith W Breisblatt, MSW, LICSW practice?

The practice location is 1470 Beacon St Apt A, Brookline, MA 02446-2613. The office can be reached at 617-487-4909 (phone) or 617-487-4909 (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 1740795004 directly on the NPPES registry website.

Browse related providers