Healthcare Provider Details

I. General information

NPI: 1235044637
Provider Name (Legal Business Name): SOCIAL AND LIFE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

492B HUNTINGTON AVE
HYDE PARK MA
02136-3116
US

IV. Provider business mailing address

492B HUNTINGTON AVE
HYDE PARK MA
02136-3116
US

V. Phone/Fax

Practice location:
  • Phone: 857-891-0256
  • Fax:
Mailing address:
  • Phone: 857-891-0256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHAENA ASHLEY LAWYER
Title or Position: OWNER/CLINICIAN
Credential: LICSW
Phone: 857-891-0256