Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE PROVOST WLADKOWSKI, LICSW
ActiveSTEPHANIE PROVOST WLADKOWSKI, LICSW is a Clinical Social Worker healthcare provider located in NAHANT, Massachusetts. NPI 1265698575 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · NAHANT, MA
Registration Details
- NPI Number
- 1265698575
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2008 (17.877663890913 yrs)
- Last Updated
- Sep 17, 2013
- License
-
114675 (MA)
Practice Information
- Address
-
2 HOOD STNAHANT, MA, 019081432Browse MA providers · Browse ZIP 01908
- Phone
- 8607946319
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.