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NPI Code Detail

MEDICARE: VERONICA AKINS LICSW

MEDICARE: VERONICA AKINS 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 Worker213909MA
21041C0700XClinical Social Worker113991MA

General Provider Information

NPI Number : 1437236635
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA AKINS LICSW
Provider Business Mailing Address
First Line : 3464 WASHINGTON STREET
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130
Country : US
Telephone Number : 617-331-5939
Fax Number : 617-524-1945
Provider Business Practice Location Address
First Line : 3464 WASHINGTON ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-2665
Country : US
Telephone Number : 617-331-5939
Fax Number : 617-524-1945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 11/09/2009

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Directions to “ VERONICA AKINS LICSW” Practice Location

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