Ms. Diane J Dmytryk, LICSW
Social Worker, Clinical in Medford, Massachusetts
1942409362- Practice location
- 66 Marston St, Medford, MA 02155-4469
- Phone
- 781-395-5724
- Fax
- 484-450-4144
- Last updated
- July 16, 2007
Diane Joan Dmytryk is a Social Worker, Clinical based in Medford, MA. Diane Joan Dmytryk practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Diane Joan Dmytryk is 1942409362 and holds a License No. 1015702 (MA). The current practice location address for Diane Joan Dmytryk is 66 Marston St, Medford, MA 02155-4469 and can be reached out via phone at 781-395-5724 and via fax at 484-450-4144.
Provider Profile Details
- NPI Number
- 1942409362
- Provider Name
- Diane Joan Dmytryk
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 66 Marston St, Medford, MA 02155-4469
- Phone Number
- 781-395-5724
- Fax Number
- 484-450-4144
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 16, 2007
- Last Update Date
- July 16, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 66 Marston St
Medford, MA 02155-4469 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4469
- Phone Number
- 781-395-5724
- Fax Number
- 484-450-4144
Provider Business Mailing Address Details
- Address
- 66 Marston St
Medford, MA 02155-4469 - City
- Medford
- State
- MA
- Zip
- 02155-4469
- Phone Number
- 781-395-5724
- Fax Number
- 484-450-4144
License Information
- License Number
- 1015702
- License State
- MA
- Taxonomy
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Medford, MA
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- Alice J Kim, LICSWSocial Worker, Clinical · NPI 1184632663
- Alicia M CarnevaleSocial Worker, Clinical · NPI 1710406673
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Frequently Asked Questions
What is the NPI number of Ms. Diane J Dmytryk, LICSW?
The NPI number of Ms. Diane J Dmytryk, LICSW is 1942409362. It was assigned on July 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Diane J Dmytryk, LICSW?
Ms. Diane J Dmytryk, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1015702.
Where does Ms. Diane J Dmytryk, LICSW practice?
The practice location is 66 Marston St, Medford, MA 02155-4469. The office can be reached at 781-395-5724 (phone) or 484-450-4144 (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 1942409362 directly on the NPPES registry website.