MEDICARE: RHONDA KAPLAN LICSW, 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	1030949	MA

General Provider Information

NPI Number	:	1285877803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA KAPLAN LICSW, MSW

Provider Business Mailing Address
First Line	:	72 E DEDHAM ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-2315
Country	:	US
Telephone Number	:	617-292-9200
Fax Number	:	617-292-9272

Provider Business Practice Location Address
First Line	:	72 E DEDHAM ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-2315
Country	:	US
Telephone Number	:	617-292-9200
Fax Number	:	617-292-9272

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

Provider Enumeration Date	:	04/13/2009
Last Update Date	:	04/13/2009

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