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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KEITH HOWARD MANTEL, LICSW

Active

MR. KEITH HOWARD MANTEL, LICSW is a Clinical Social Worker healthcare provider located in SOUTH BOSTON, Massachusetts. NPI 1356351118 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SOUTH BOSTON, MA

Registration Details

NPI Number
1356351118
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2006 (19.870308606719 yrs)
Last Updated
Nov 6, 2018
License
117738 (MA)

Practice Information

Address
409 W BROADWAY
SOUTH BOSTON, MA, 021272245
Browse MA providers · Browse ZIP 02127
Phone
6172697500
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SOUTH BOSTON, MA

Name Credential NPI
JOHN AUGUSTUS NORTHRIDGE LICSW 1174586168
MRS. MARY ELIZABETH KELLEHER LICSW 1295798114
DR. JAMES ALLAN GARDNER, JR. PHD LICSW 1407819261
MR. DANIEL T SULLIVAN LICSW 1124235734
EMILY R HAMES LICSW 1689814741
CHRISTOPHER M LAUZON LICSW 1710216577
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.