MISS NIKE KONSTANTINA GREGORY LICSW NPI 1376867556

NPI Information

NPI: 1376867556
Provider Name: MISS NIKE KONSTANTINA GREGORY, LICSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
42 THOMAS ST
MEDFORD, MA
ZIP 02155
Phone: (978) 476-3708
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MISS Nike Konstantina Gregory, LICSW is a mental health counselor in Medford, MA. MISS Nike Konstantina Gregory, LICSW NPI is 1376867556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

42 THOMAS ST
MEDFORD, MA
ZIP 02155-536
Phone: (978) 476-3708

The enumeration date for this NPI number is 3/17/2010 and was last updated on 3/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	123330	MASSACHUSETTS	No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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