Healthcare Provider Details
I. General information
NPI: 1306715057
Provider Name (Legal Business Name): ARI COMART LICSW
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
220 HIGH VIEW DR
BOULDER CO
80304-0422
US
IV. Provider business mailing address
40 GREATON RD
WEST ROXBURY MA
02132-1405
US
V. Phone/Fax
- Phone: 781-214-0523
- Fax:
- Phone: 781-214-0523
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
ARI
COMART
Title or Position: LCSW
Credential:
Phone: 781-214-0523