Provider Demographics
NPI:1447494919
Name:STEVENS, APRIL (LICSW)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02170-2308
Mailing Address - Country:US
Mailing Address - Phone:617-417-6100
Mailing Address - Fax:617-479-1270
Practice Address - Street 1:1147 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4343
Practice Address - Country:US
Practice Address - Phone:617-417-6100
Practice Address - Fax:617-479-1270
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-28
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1113381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical