Healthcare Provider Details

I. General information

NPI: 1740417815
Provider Name (Legal Business Name): KATHIA JOSIANI LAMBERT LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHIA JOSIANI MONTEIRO MSW, LCSW

II. Dates (important events)

Enumeration Date: 06/16/2009
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 BOYLSTON ST
BOSTON MA
02116-2774
US

IV. Provider business mailing address

867 BOYLSTON ST
BOSTON MA
02116-2774
US

V. Phone/Fax

Practice location:
  • Phone: 617-297-8170
  • Fax: 617-237-6532
Mailing address:
  • Phone: 617-297-8170
  • Fax: 617-237-6532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number117035
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: