Provider Demographics
NPI:1871745612
Name:VIGIL, KATHRYN I (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:I
Last Name:VIGIL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:869 MASS AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4701
Mailing Address - Country:US
Mailing Address - Phone:781-316-3607
Mailing Address - Fax:781-316-3319
Practice Address - Street 1:869 MASS AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4701
Practice Address - Country:US
Practice Address - Phone:781-316-3607
Practice Address - Fax:781-316-3319
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical