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NPI Code Detail

MEDICARE: CHRISTINE CERICOLA LICSW

MEDICARE: CHRISTINE CERICOLA 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 Worker

General Provider Information

NPI Number : 1710605266
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE CERICOLA LICSW
Provider Business Mailing Address
First Line : 10 GOVE ST
Second Line :
City : EAST BOSTON
State : MA
Zip : 02128-1920
Country : US
Telephone Number : 617-569-5800
Fax Number :
Provider Business Practice Location Address
First Line : 10 GOVE ST
Second Line :
City : EAST BOSTON
State : MA
Zip : 02128-1920
Country : US
Telephone Number : 617-569-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 12/15/2025

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Directions to “ CHRISTINE CERICOLA LICSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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