| Leah Nelson, Licsw Llc | |
|
300 Fenway Boston MA 02115-5820 | |
| (781) 526-6915 | |
| Not Available |
| Full Name | Leah Nelson, Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 Fenway, Boston, Massachusetts |
| Authorized Official Name and Position | Leah Nelson (OWNER) |
| Authorized Official Contact | 7815266915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Nelson, Licsw Llc 109 Spring St Arlington MA 02476-7924 Ph: (781) 526-6915 | Leah Nelson, Licsw Llc 300 Fenway Boston MA 02115-5820 Ph: (781) 526-6915 |
| NPI Number | 1124633250 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 10/18/2020 |
| Certification Date | 10/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124633250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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