Individual
NORMA LUCIA MALKIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CCM
Contact information
Practice address
163 GORE ST, CAMBRIDGE, MA 02141-1119
(617) 575-5850
(617) 499-8360
Mailing address
314 NEWTONVILLE AVE APT 3, NEWTONVILLE, MA 02460-2049
(617) 512-7141
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
313744
LICENSED SOCIAL WORKER
MA
01
—
4212629
CERTIFIED CASE MANAGER- CCM
—
Enumeration date
10/05/2017
Last updated
06/16/2018
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