Alicea, Angeline

Alicea, Angeline is an individual health care provider with primary practice located at 30 Warren St , Brighton MA 02135-3602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Alicea, Angeline can be contacted via phone (617) 254-3800.

Contact Information

Primary practice address
30 Warren St Brighton MA 02135-3602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1720598477
LBN Legal business name Alicea, Angeline
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2017
Last updated Oct 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720598477 NPPES
Massachusetts Other 1134107113 MBHP
Massachusetts Other Y10086 MBHP
Massachusetts Other 71756 MBHP
Massachusetts Other 042622756 MBHP
Massachusetts Other 1134107113 MBHP
Massachusetts Other 997303 MBHP
Massachusetts Other 12529 MBHP
Massachusetts Other 1134107113 MBHP
Massachusetts Other 1134107113 MBHP
Massachusetts MEDICAID 1134107113 MBHP

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