Active NPIIndividual provider

Sandra L Wolosenko, LICSW

Social Worker in Medford, Massachusetts

NPI Number1982710448
Practice location
151 Mystic Ave, Medford, MA 02155-4632
Fax
781-396-1439
Last updated
January 4, 2012

Sandra L Wolosenko is a Social Worker based in Medford, MA. Sandra L Wolosenko practices in Medford, MA and has the professional credentials of LICSW. The NPI Number for Sandra L Wolosenko is 1982710448 and holds a License No. 101971 (MA). The current practice location address for Sandra L Wolosenko is 151 Mystic Ave, Medford, MA 02155-4632 and can be reached out via phone at 781-396-1199 and via fax at 781-396-1439.

Provider Profile Details

NPI Number
1982710448
Provider Name
Sandra L Wolosenko
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
151 Mystic Ave, Medford, MA 02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
August 21, 2006
Last Update Date
January 4, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Mystic Ave
Medford, MA 02155-4632
Zip
02155-4632
Phone Number
781-396-1199
Fax Number
781-396-1439
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
156 Oak St
Florence, MA 01062-1329
City
Florence
State
MA
Zip
01062-1329
Phone Number
413-586-9461
Fax Number
413-584-8671

License Information

License Number
101971
License State
MA
Taxonomy
Social Worker · 104100000X · 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 Sandra L Wolosenko, LICSW?

The NPI number of Sandra L Wolosenko, LICSW is 1982710448. It was assigned on August 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Sandra L Wolosenko, LICSW?

Sandra L Wolosenko, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 101971.

Where does Sandra L Wolosenko, LICSW practice?

The practice location is 151 Mystic Ave, Medford, MA 02155-4632. The office can be reached at 781-396-1199 (phone) or 781-396-1439 (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 1982710448 directly on the NPPES registry website.

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