Doctor Name: | MRS. PATRICIA SHEN |
NPI Number: | 1184916553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 116114 |
Business Practice Address: | 279 Athens St South Boston, MA - 021271901 |
Business Phone Number: | 6178235350 |
Business Fax Number: | |
Mailing Address: | 279 Athens St, SOUTH BOSTON |
State: | MA |
Postal Code: | 021271901 |
Phone Number: | 6178235350 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2011 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 116114 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |