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NPI Code Detail

MEDICARE: ANASTASIA MEZHERITSKAYA LICSW

MEDICARE: ANASTASIA MEZHERITSKAYA 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
11041C0700XClinical Social WorkerLCSW229543MA

General Provider Information

NPI Number : 1326926353
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA MEZHERITSKAYA LICSW
Provider Business Mailing Address
First Line : 736 CAMBRIDGE ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-2907
Country : US
Telephone Number : 617-789-3432
Fax Number : 617-789-3254
Provider Business Practice Location Address
First Line : 736 CAMBRIDGE ST
Second Line :
City : BRIGHTON
State : MA
Zip : 02135-2907
Country : US
Telephone Number : 617-789-3432
Fax Number : 617-789-3254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2025
Last Update Date : 04/27/2026

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Directions to “ ANASTASIA MEZHERITSKAYA LICSW” Practice Location

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