Individual
ANGELINE ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 254-3800
Mailing address
30 WARREN ST, BRIGHTON, MA 02135-3602
(617) 254-3800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
CCA
MA
01
—
1134107113
MBHP
MA
05
—
1134107113
—
MA
01
—
12529
HNE
MA
01
—
71756
TUFTS
MA
01
—
997303
NETWORK HEALTH
MA
01
—
Y10086
MEDICARE
MA
Enumeration date
10/09/2017
Last updated
10/12/2023
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