MR. JAMES M. LAVASH LICSW NPI 1922167089

NPI Information

NPI: 1922167089
Provider Name: MR. JAMES M. LAVASH, LICSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1500 DORCHESTER AVE
DORCHESTER, MA
ZIP 02122
Phone: (617) 825-5000
Get Directions

MR. James M. Lavash, LICSW is an addiction (substance use disorder) counselor in Dorchester, MA. MR. James M. Lavash, LICSW NPI is 1922167089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 DORCHESTER AVE
DORCHESTER, MA
ZIP 02122-327
Phone: (617) 825-5000
Fax: (617) 288-5991

The enumeration date for this NPI number is 12/6/2006 and was last updated on 7/8/2007.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	111308	MASSACHUSETTS	Yes
2	101YM0800X	Counselor	Mental Health	111308	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1303511	MEDICAID	MASSACHUSETTS
2	M13635	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

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: 11/14/2023

NPI Synchronization or Removal

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