| Lisa R. Ahmed, Licsw, Llc | |
|
4 Oak St Ste 2 Needham MA 02492-2462 | |
| (781) 400-1143 | |
| Not Available |
| Full Name | Lisa R. Ahmed, Licsw, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4 Oak St Ste 2, Needham, Massachusetts |
| Authorized Official Name and Position | Lisa Ahmed (THERAPIST) |
| Authorized Official Contact | 7814001143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa R. Ahmed, Licsw, Llc 4 Oak St Ste 2 Needham MA 02492-2462 Ph: () - | Lisa R. Ahmed, Licsw, Llc 4 Oak St Ste 2 Needham MA 02492-2462 Ph: (781) 400-1143 |
| NPI Number | 1063179406 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 11/19/2021 |
| Certification Date | 11/19/2021 |
| Medicare PECOS PAC ID | 1759761497 |
|---|---|
| Medicare Enrollment ID | O20220712000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063179406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa R Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295710549 PECOS PAC ID: 4082642905 Enrollment ID: I20050802000404 |
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