Provider Demographics
NPI:1154184026
Name:SHETH, CLAIRE BARNES (MSW, LICSW)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:BARNES
Last Name:SHETH
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 BEDFORD ST STE 125
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-4543
Mailing Address - Country:US
Mailing Address - Phone:781-861-1818
Mailing Address - Fax:781-861-2057
Practice Address - Street 1:57 BEDFORD ST STE 125
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-4543
Practice Address - Country:US
Practice Address - Phone:781-861-1818
Practice Address - Fax:781-861-2057
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-02
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1276851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical