Doctor Name: | GAIL FLACKETT |
NPI Number: | 1497808869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 100218 |
Business Practice Address: | 20 Orient Avenue Newton Centre, MA - 02459 |
Business Phone Number: | 6175271402 |
Business Fax Number: | 6179280945 |
Mailing Address: | 20 Orient Avenue, NEWTON CENTRE |
State: | MA |
Postal Code: | 02459 |
Phone Number: | 6175271402 |
Fax Number: | 6179280945 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 100218 |
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 |