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

MS. DIANE JOAN DMYTRYK, LICSW

Active Sole Proprietor

MS. DIANE JOAN DMYTRYK, LICSW is a Clinical Social Worker healthcare provider located in MEDFORD, Massachusetts. NPI 1942409362 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MEDFORD, MA

Registration Details

NPI Number
1942409362
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2007 (19.054704603948 yrs)
Last Updated
Jul 16, 2007
License
1015702 (MA)
Sole Proprietor
Yes

Practice Information

Address
66 MARSTON ST
MEDFORD, MA, 021554469
Browse MA providers · Browse ZIP 02155
Phone
7813955724
Fax
4844504144
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in MEDFORD, MA

Name Credential NPI
BEVERLEY H JOUETT LICSW 1235182049
LYNNE M. MERL LICSW 1871540591
TMIRA RING LICSW 1316968670
MS. ANNE ELIZABETH LEBOWITZ MSW LICSW 1760404586
AMANDA L. LITTLEFIELD LICSW 1699799676
MARY JILL HARPER LICSW 1730103284
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.