Alexandra Grannan Licsw LLC
Community/Behavioral Health in Waltham, Massachusetts
1871358077- Practice location
- 800 Lexington Street, Waltham Plaza 1070, Waltham, MA 02451
- Phone
- 617-520-4115
- Fax
- —
- Last updated
- February 16, 2024
Alexandra Grannan Licsw LLC is a healthcare organization based in Waltham, MA. Alexandra Grannan Licsw LLC practices in Waltham, MA. The NPI Number for Alexandra Grannan Licsw LLC is 1871358077. The current practice location address for Alexandra Grannan Licsw LLC is 800 Lexington Street, Waltham Plaza 1070, Waltham, MA 02451 and can be reached out via phone at 617-520-4115.
Provider Profile Details
- NPI Number
- 1871358077
- Provider Name
- Alexandra Grannan Licsw LLC
- Provider Entity Type
- Organization
- Address
- 800 Lexington Street, Waltham Plaza 1070, Waltham, MA 02451
- Phone Number
- 617-520-4115
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Alexandra Grannan, LICSW · Manager, Sole Member · 617-520-4115
- Provider Enumeration Date
- February 16, 2024
- Last Update Date
- February 16, 2024
- Certification Date
- February 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Lexington Street
Waltham Plaza 1070
Waltham, MA 02451 - City
- Waltham
- State
- Massachusetts
- Zip
- 02451
- Phone Number
- 617-520-4115
Provider Business Mailing Address Details
- Address
- 800 Lexington Street
Waltham Plaza 1070
Waltham, MA 02451 - City
- Waltham
- State
- MA
- Zip
- 02451
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · 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 Alexandra Grannan Licsw LLC?
The NPI number of Alexandra Grannan Licsw LLC is 1871358077. It was assigned on February 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Alexandra Grannan Licsw LLC?
Alexandra Grannan Licsw LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Alexandra Grannan Licsw LLC practice?
The practice location is 800 Lexington Street, Waltham Plaza 1070, Waltham, MA 02451. The office can be reached at 617-520-4115 (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 1871358077 directly on the NPPES registry website.