Active NPIIndividual providerSole proprietor

Michael Hursh, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1891993648
Practice location
10 High Street, Suite 10, Medford, MA 02155
Fax
781-391-5566
Last updated
October 13, 2015

Michael Hursh is a Social Worker, Clinical based in Medford, MA. Michael Hursh practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Michael Hursh is 1891993648 and holds a License No. 113541 (MA). The current practice location address for Michael Hursh is 10 High Street, Suite 10, Medford, MA 02155 and can be reached out via phone at 781-395-1560 and via fax at 781-391-5566.

Provider Profile Details

NPI Number
1891993648
Provider Name
Michael Hursh
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
10 High Street, Suite 10, Medford, MA 02155
Phone Number
781-395-1560
Fax Number
781-391-5566
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2007
Last Update Date
October 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 High Street
Suite 10
Medford, MA 02155
Zip
02155
Phone Number
781-395-1560
Fax Number
781-391-5566
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
Po Box 311
Medford, MA 02155-0004
City
Medford
State
MA
Zip
02155-0004
Phone Number
781-395-1560
Fax Number
781-391-5566

License Information

License Number
113541
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 Michael Hursh, LICSW?

The NPI number of Michael Hursh, LICSW is 1891993648. It was assigned on July 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Michael Hursh, LICSW?

Michael Hursh, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113541.

Where does Michael Hursh, LICSW practice?

The practice location is 10 High Street, Suite 10, Medford, MA 02155. The office can be reached at 781-395-1560 (phone) or 781-391-5566 (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 1891993648 directly on the NPPES registry website.

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