Healthcare Provider Details

I. General information

NPI: 1215230768
Provider Name (Legal Business Name): MARIEJOSE SAINTHE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2010
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

55 FRUIT ST
BOSTON MA
02114-2696
US

V. Phone/Fax

Practice location:
  • Phone: 617-643-0407
  • Fax: 617-726-7541
Mailing address:
  • Phone: 617-643-0407
  • Fax: 617-726-7541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number118885
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: