Healthcare Provider Details

I. General information

NPI: 1801520994
Provider Name (Legal Business Name): ELIZABETH CALABRESI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 1/2 WARREN ST
CAMBRIDGE MA
02141-1015
US

IV. Provider business mailing address

44 1/2 WARREN ST
CAMBRIDGE MA
02141-1015
US

V. Phone/Fax

Practice location:
  • Phone: 401-743-4690
  • Fax:
Mailing address:
  • Phone: 401-743-4690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number231066
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: