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NPI Code Detail

MEDICARE: ELAINE LEBEL LICSW

MEDICARE: ELAINE LEBEL 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 Worker127630MA
2104100000XSocial Worker226687MA
31041C0700XClinical Social Worker

General Provider Information

NPI Number : 1770121634
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE LEBEL LICSW
Provider Business Mailing Address
First Line : 55 DIMOCK ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-1029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45 DIMOCK ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-1208
Country : US
Telephone Number : 617-442-8800
Fax Number : 617-442-4088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2019
Last Update Date : 02/02/2026

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Directions to “ ELAINE LEBEL 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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