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NPI Code Detail

MEDICARE: CECILY L. EPSTEIN

MEDICARE: CECILY L. EPSTEIN
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 WorkerLICSW121731MA

General Provider Information

NPI Number : 1770899031
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILY L. EPSTEIN
Provider Business Mailing Address
First Line : 330 MOUNT AUBURN STREET
Second Line : PARSON 2
City : CAMBRIDGE
State : MA
Zip : 02138-3326
Country : US
Telephone Number : 617-469-5050
Fax Number :
Provider Business Practice Location Address
First Line : 330 MOUNT AUBURN ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-5597
Country : US
Telephone Number : 617-499-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2010
Last Update Date : 07/08/2024

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