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NPI Code Detail

MEDICARE: MR. JOSEPH PREVER MSW, LICSW

MEDICARE:  MR. JOSEPH  PREVER  MSW, LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker126079MA

General Provider Information

NPI Number : 1578185641
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH PREVER MSW, LICSW
Provider Business Mailing Address
First Line : 1415 BEACON ST STE 302
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-4812
Country : US
Telephone Number : 603-504-4506
Fax Number :
Provider Business Practice Location Address
First Line : 1415 BEACON ST STE 302
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-4812
Country : US
Telephone Number : 603-504-4506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2020
Last Update Date : 02/25/2025

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Directions to “ MR. JOSEPH PREVER MSW, LICSW” Practice Location

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