Healthcare Provider Details
I. General information
NPI: 1154255453
Provider Name (Legal Business Name): AVRAM GLEITSMAN LICSW PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
447 ALBANY ST
FALL RIVER MA
02720-6305
US
IV. Provider business mailing address
447 ALBANY ST
FALL RIVER MA
02720-6305
US
V. Phone/Fax
- Phone: 203-842-8726
- Fax:
- Phone:
- 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 | |
VIII. Authorized Official
Name:
AVRAM
GLEITSMAN
Title or Position: OWNER
Credential:
Phone: 203-842-8726