Individual
SHIVANGINI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
311 PAWTUCKET BLVD UNIT 11, LOWELL, MA 01854-2936
(781) 496-8250
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
122300000X
Dentist
Primary
DN10000983
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08011987
—
MA
Enumeration date
02/20/2024
Last updated
07/22/2025
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