Healthcare Provider Details

I. General information

NPI: 1225754773
Provider Name (Legal Business Name): INFINITE ROUTES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

992 GREAT PLAIN AVE STE 25
NEEDHAM MA
02492-2524
US

IV. Provider business mailing address

992 GREAT PLAIN AVE STE 25
NEEDHAM MA
02492-2524
US

V. Phone/Fax

Practice location:
  • Phone: 978-807-1748
  • Fax:
Mailing address:
  • Phone: 978-807-1748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. RACHEL L. SLETZINGER
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LICSW
Phone: 978-807-1748