Active NPIIndividual providerSole proprietor

Kyannah M Depina

Social Worker, Clinical in Mattapan, Massachusetts

NPI Number1912771676
Practice location
201 River Sreet, Mattapan, MA 02126-2713
Fax
—
Last updated
April 12, 2024

Kyannah M Depina is a Social Worker, Clinical based in Mattapan, MA. Kyannah M Depina practices in Mattapan, MA. The NPI Number for Kyannah M Depina is 1912771676. The current practice location address for Kyannah M Depina is 201 River Sreet, Mattapan, MA 02126-2713 and can be reached out via phone at 617-534-9150.

Provider Profile Details

NPI Number
1912771676
Provider Name
Kyannah M Depina
Provider Entity Type
Individual
Gender
Female
Address
201 River Sreet, Mattapan, MA 02126-2713
Phone Number
617-534-9150
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 13, 2023
Last Update Date
April 12, 2024
Certification Date
April 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 River Sreet
Mattapan, MA 02126-2713
Zip
02126-2713
Phone Number
617-534-9150
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
372 Chatham West Dr
Brockton, MA 02301-1319
City
Brockton
State
MA
Zip
02301-1319
Phone Number
774-223-8984

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
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 Kyannah M Depina?

The NPI number of Kyannah M Depina is 1912771676. It was assigned on November 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Kyannah M Depina?

Kyannah M Depina is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Kyannah M Depina practice?

The practice location is 201 River Sreet, Mattapan, MA 02126-2713. The office can be reached at 617-534-9150 (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 1912771676 directly on the NPPES registry website.

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