Healthcare Provider Details

I. General information

NPI: 1407240963
Provider Name (Legal Business Name): EMILY RICE LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 SOLDIERS FIELD RD STE 7 #1002
BRIGHTON MA
02135
US

IV. Provider business mailing address

1660 SOLDIERS FIELD RD STE 7
BRIGHTON MA
02135-1108
US

V. Phone/Fax

Practice location:
  • Phone: 617-903-0675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number120433
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: