MEDICARE: LAUREN CHASE MSW

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1255170817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CHASE MSW

Provider Business Mailing Address
First Line	:	177 HUNTINGTON AVENUE
Second Line	:	1703-88774
City	:	BOSTON
State	:	MA
Zip	:	02115
Country	:	US
Telephone Number	:	781-443-8344
Fax Number	:	844-364-6593

Provider Business Practice Location Address
First Line	:	177 HUNTINGTON AVENUE
Second Line	:	1703-88774
City	:	BOSTON
State	:	MA
Zip	:	02115
Country	:	US
Telephone Number	:	781-443-8344
Fax Number	:	844-364-6593

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

Provider Enumeration Date	:	05/23/2024
Last Update Date	:	05/23/2024

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Directions to “ LAUREN CHASE MSW” Practice Location

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