MEDICARE: MS. ZULEIKA ANDRADE ECCLES

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
1	104100000X	Social Worker	LICSW1141590	MA

General Provider Information

NPI Number	:	1245543743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ZULEIKA ANDRADE ECCLES

Provider Business Mailing Address
First Line	:	720 WASHINGTON ST STE 104
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-2472
Country	:	US
Telephone Number	:	781-924-7171
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 WASHINGTON ST STE 104
Second Line	:
City	:	HANOVER
State	:	MA
Zip	:	02339-2472
Country	:	US
Telephone Number	:	781-924-7171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2010
Last Update Date	:	03/24/2026

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