Active NPIIndividual provider

Ms. Elizabeth L Maniscalco, LICSW

Social Worker, Clinical in Medford, Massachusetts

NPI Number1962609040
Practice location
200 Boston Ave, Suite 1900, Medford, MA 02155-4243
Fax
781-306-1190
Last updated
July 8, 2007

Elizabeth L. Maniscalco is a Social Worker, Clinical based in Medford, MA. Elizabeth L. Maniscalco practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Elizabeth L. Maniscalco is 1962609040 and holds a License No. 1023689 (MA). The current practice location address for Elizabeth L. Maniscalco is 200 Boston Ave, Suite 1900, Medford, MA 02155-4243 and can be reached out via phone at 781-306-1180 and via fax at 781-306-1190.

Provider Profile Details

NPI Number
1962609040
Provider Name
Elizabeth L. Maniscalco
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
200 Boston Ave, Suite 1900, Medford, MA 02155-4243
Phone Number
781-306-1180
Fax Number
781-306-1190
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 2, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Boston Ave
Suite 1900
Medford, MA 02155-4243
Zip
02155-4243
Phone Number
781-306-1180
Fax Number
781-306-1190
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
200 Boston Ave
Suite 1900
Medford, MA 02155-4243
City
Medford
State
MA
Zip
02155-4243
Phone Number
781-306-1180
Fax Number
781-306-1190

License Information

License Number
1023689
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 Ms. Elizabeth L Maniscalco, LICSW?

The NPI number of Ms. Elizabeth L Maniscalco, LICSW is 1962609040. It was assigned on July 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Elizabeth L Maniscalco, LICSW?

Ms. Elizabeth L Maniscalco, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 1023689.

Where does Ms. Elizabeth L Maniscalco, LICSW practice?

The practice location is 200 Boston Ave, Suite 1900, Medford, MA 02155-4243. The office can be reached at 781-306-1180 (phone) or 781-306-1190 (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 1962609040 directly on the NPPES registry website.

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