Organization
LEMUEL SHATTUCK HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA ETHEL GRANT LICSW (CLINICAL SOCIAL WORKER C)
(617) 971-3006
Entity
Organization
Contact information
Practice address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
(617) 971-3853
Mailing address
170 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 522-8110
(617) 971-3853
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1029674
MA
283Q00000X
Psychiatric Hospital
1029674
MA
Other
Enumeration date
02/06/2007
Last updated
09/11/2025
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