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NPI Code Detail

MEDICARE: DANA SHAW TARNOFF ABSELEM LICSW

MEDICARE: DANA SHAW TARNOFF ABSELEM 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 WorkerLICSW1141986MA

General Provider Information

NPI Number : 1598406555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA SHAW TARNOFF ABSELEM LICSW
Provider Business Mailing Address
First Line : 234 COPELAND ST STE 320
Second Line :
City : QUINCY
State : MA
Zip : 02169-4082
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 234 COPELAND ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4081
Country : US
Telephone Number : 617-479-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2022
Last Update Date : 01/14/2026

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Directions to “ DANA SHAW TARNOFF ABSELEM LICSW” Practice Location

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