Active NPIIndividual providerSole proprietor

Elizabeth Cicerano, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1942426465
Practice location
200 Govenor'S Ave, Medford, MA 02155
Fax
—
Last updated
July 8, 2007

Elizabeth Cicerano is a Social Worker, Clinical based in Medford, MA. Elizabeth Cicerano practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Elizabeth Cicerano is 1942426465 and holds a License No. 113358 (MA). The current practice location address for Elizabeth Cicerano is 200 Govenor'S Ave, Medford, MA 02155 and can be reached out via phone at 781-396-2300.

Provider Profile Details

NPI Number
1942426465
Provider Name
Elizabeth Cicerano
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
200 Govenor'S Ave, Medford, MA 02155
Phone Number
781-396-2300
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Govenor'S Ave
Medford, MA 02155
Zip
02155
Phone Number
781-396-2300
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
23 Crescent Hill Ave
Lexington, MA 02420-2825
City
Lexington
State
MA
Zip
02420-2825
Phone Number
781-862-3786

License Information

License Number
113358
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 Elizabeth Cicerano, LICSW?

The NPI number of Elizabeth Cicerano, LICSW is 1942426465. It was assigned on April 17, 2007 and is currently active in the NPPES registry.

What is the specialty of Elizabeth Cicerano, LICSW?

Elizabeth Cicerano, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 113358.

Where does Elizabeth Cicerano, LICSW practice?

The practice location is 200 Govenor'S Ave, Medford, MA 02155. The office can be reached at 781-396-2300 (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 1942426465 directly on the NPPES registry website.

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