IndividualActive
A Maynard, LICSW
NPI 1659469831 · Clinical Social Worker · Malden, MA
Provider details
- NPI number
- 1659469831
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 1021697 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
389 Main St
Ste 303
Malden, MA 02148-5017
Phone: (781) 324-2381
Fax: (781) 388-1817
Approximate (ZIP-level) locationGet directions
Mailing address
389 Main St
Malden, MA 02148-5017
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2009-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.