Provider Demographics
NPI:1124505524
Name:AINES, NITA FEIERSTEIN (LICSW)
Entity type:Individual
Prefix:
First Name:NITA
Middle Name:FEIERSTEIN
Last Name:AINES
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 1:1 DEL POND DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-2759
Mailing Address - Country:US
Mailing Address - Phone:781-821-3227
Mailing Address - Fax:781-821-3286
Practice Address - Street 1:1 DEL POND DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-2759
Practice Address - Country:US
Practice Address - Phone:781-821-3227
Practice Address - Fax:781-821-3286
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1769001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical