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NPI Code Detail

MEDICARE: AYANNA ALLEYNE LICSW

MEDICARE:   AYANNA  ALLEYNE  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker127864MA

General Provider Information

NPI Number : 1194350777
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYANNA ALLEYNE LICSW
Provider Business Mailing Address
First Line : 90 CAPEN ST APT 1R
Second Line :
City : BOSTON
State : MA
Zip : 02124-4268
Country : US
Telephone Number : 857-309-3116
Fax Number :
Provider Business Practice Location Address
First Line : 90 CAPEN ST APT 1R
Second Line :
City : BOSTON
State : MA
Zip : 02124-4268
Country : US
Telephone Number : 857-309-3116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2020
Last Update Date : 03/27/2026

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Directions to “ AYANNA ALLEYNE LICSW” Practice Location

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