Doctor Name: | SITHEMBILE MAHLATINI |
NPI Number: | 1346457629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D, LCSW |
License Number: | SW7156 |
Business Practice Address: | 440 Humphrey St Swampscott, MA - 019072574 |
Business Phone Number: | 7812541602 |
Business Fax Number: | 8883067208 |
Mailing Address: | 333 Chatham St Apt 18, LYNN |
State: | MA |
Postal Code: | 019022132 |
Phone Number: | 7812541602 |
Fax Number: | 8883067208 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 01/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW7156 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |