Healthcare Provider Details

I. General information

NPI: 1104751379
Provider Name (Legal Business Name): ANNIE K FICARRA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 HIGHLAND AVE APT 3A
SOMERVILLE MA
02143-1311
US

IV. Provider business mailing address

281 HIGHLAND AVE APT 3A
SOMERVILLE MA
02143-1311
US

V. Phone/Fax

Practice location:
  • Phone: 203-993-5726
  • Fax:
Mailing address:
  • Phone: 203-993-5726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10006817
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: