Provider Demographics
NPI:1104300227
Name:KATZ, JOAN FRANCES (LICSW, MSW, C-ASWCM)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:FRANCES
Last Name:KATZ
Suffix:
Gender:F
Credentials:LICSW, MSW, C-ASWCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1496 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2832
Mailing Address - Country:US
Mailing Address - Phone:617-833-7083
Mailing Address - Fax:
Practice Address - Street 1:1496 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2832
Practice Address - Country:US
Practice Address - Phone:617-833-7083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1042221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical