Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ALLEN MARK SPIVACK, LICSW
Active Sole ProprietorMR. ALLEN MARK SPIVACK, LICSW is a Clinical Social Worker healthcare provider located in ROXBURY, Massachusetts. NPI 1417240706 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · ROXBURY, MA
Registration Details
- NPI Number
- 1417240706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2011 (15.248139840327 yrs)
- Last Updated
- May 19, 2011
- License
-
1029802 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 DIMOCK STROOM 309ROXBURY, MA, 021191029Browse MA providers · Browse ZIP 02119
- Phone
- 6174428800
- Fax
- 6174271126
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in ROXBURY, MA
| Name | Credential | NPI |
|---|---|---|
| MS. PAULINA MARIE HEYWOOD | MSW/LICSW | 1609950336 |
| MS. LISA MARILYN DUNIEC-VERGAKIS | LICSW | 1093891087 |
| LAURIE KASLOW | LICSW | 1609952555 |
| MS. SONJA J DIXONS I | MSW INTERN | 1679645436 |
| MISS MICHELLE A SIEGEL | LCSW | 1598825622 |
| MRS. JESSICA MARIE NUHIBIAN BOISVERT | MSW, LCSW, CEIS | 1609930171 |
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.