Doctor Name: | MS. DIANA S. KIEREIN |
NPI Number: | 1366599268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 546633 |
Business Practice Address: | 1193 Walnut St Ste 7 Newton Highlands, MA - 024611268 |
Business Phone Number: | 6174674611 |
Business Fax Number: | 5093629656 |
Mailing Address: | 1193 Walnut St Ste 7, NEWTON HIGHLANDS |
State: | MA |
Postal Code: | 024611268 |
Phone Number: | 6174674611 |
Fax Number: | 5093629656 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 03/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 546633 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |