Active NPIIndividual provider

Deborah M Reisman, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1841397825
Practice location
151 Mystic Ave, Suite Six, Medford, MA 02155-4632
Fax
781-396-1439
Last updated
November 28, 2011

Deborah Max Reisman is a Social Worker, Clinical based in Medford, MA. Deborah Max Reisman practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Deborah Max Reisman is 1841397825 and holds a License No. 106645 (MA). The current practice location address for Deborah Max Reisman is 151 Mystic Ave, Suite Six, Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439.

Provider Profile Details

NPI Number
1841397825
Provider Name
Deborah Max Reisman
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
151 Mystic Ave, Suite Six, Medford, MA 02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
-- Deborah Reisman, LICSW (Other Name)
Provider Enumeration Date
September 20, 2006
Last Update Date
November 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Mystic Ave
Suite Six
Medford, MA 02155-4632
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
75 Beethoven Ave
Waban, MA 02468-1732
City
Waban
State
MA
Zip
02468-1732
Phone Number
617-332-3980

License Information

License Number
106645
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.

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Frequently Asked Questions

What is the NPI number of Deborah M Reisman, LICSW?

The NPI number of Deborah M Reisman, LICSW is 1841397825. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Deborah M Reisman, LICSW?

Deborah M Reisman, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 106645.

Where does Deborah M Reisman, LICSW practice?

The practice location is 151 Mystic Ave, Suite Six, Medford, MA 02155-4632. The office can be reached at 781-396-1199 (phone) or 781-396-1439 (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 1841397825 directly on the NPPES registry website.

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