Provider Demographics
NPI:1285495614
Name:CHRIS KAPLAN, LICSW, LLC
Entity type:Organization
Organization Name:CHRIS KAPLAN, LICSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:/PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:671-231-9751
Mailing Address - Street 1:1753 MASSACHUSETTS AVE.
Mailing Address - Street 2:STE 3
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140
Mailing Address - Country:US
Mailing Address - Phone:617-231-9751
Mailing Address - Fax:617-202-2321
Practice Address - Street 1:1753 MASSACHUSETTS AVE.
Practice Address - Street 2:SUITE 3
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140
Practice Address - Country:US
Practice Address - Phone:617-231-9751
Practice Address - Fax:617-202-2321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health