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NPI Code Detail

MEDICARE: CHRISTINA PAYNE LCSW

MEDICARE: CHRISTINA PAYNE LCSW
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 Worker228035MA

General Provider Information

NPI Number : 1982393195
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA PAYNE LCSW
Provider Business Mailing Address
First Line : 49 WALTHAM ST STE 2
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-5411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 49 WALTHAM ST STE 2
Second Line :
City : LEXINGTON
State : MA
Zip : 02421-5411
Country : US
Telephone Number : 888-695-7775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 05/03/2023

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Directions to “ CHRISTINA PAYNE LCSW” Practice Location

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